is a Dental Hygienist in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for is 1417114406. The last update date is .
's current location address is 4913 W Reno Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059484900 and fax number 4059484938. The mailing address for is 4913 W Reno Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4913 W Reno Ave, Oklahoma City, Oklahoma |
| Phone Number | 4059484900 |
| Fax Number | 4059484938 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417114406 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4913 W Reno Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731276339 |
| Phone Number | 4059484900 |
| Fax Number | 4059484938 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 1277 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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