is a Pediatric Dentistry in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for is 1508023383. The last update date is .
's current location address is 11318 N May Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057525437 and fax number 4057486684. The mailing address for is 11318 N May Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11318 N May Ave, Oklahoma City, Oklahoma |
| Phone Number | 4057525437 |
| Fax Number | 4057486684 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508023383 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11318 N May Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731205860 |
| Phone Number | 4057525437 |
| Fax Number | 4057486684 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5461 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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