Endodontics And Implant Associates,pllc
Dentist in Midwest City, OK. Organization (NPI-2).
NPI number1922452804
StatusActive
Last updated in NPPESApr 18, 2016
Details
- NPI
- 1922452804
- Entity type
- Organization (NPI-2)
- Legal business name
- Endodontics And Implant Associates,pllc
- Organization subpart
- No
- Enumeration date
- Apr 18, 2016
- Last updated
- Apr 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 72 | OK | Yes |
Other names
- Endodontics And Dental Implants Of Oklahoma (Doing Business As)
Practice location
1621 Midtown PlaceSuite B
Midwest City, OK 73130
Phone 405-982-2121 · Fax 405-561-0120
Mailing address
1621 Midtown PlaceSuite B
Midwest City, OK 73130
Phone 405-982-2121 · Fax 405-561-0120
Authorized official
Andrew Xu
Member Manager
6466623105
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