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1174007736
SOUTHRIDGE DENTAL ARTS PLLC
OKLAHOMA CITY, OK
NPI
1174007736
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Entity Type
Organization
Authorized Contact
JOSHUA BRASHER
Owner
405-474-6362
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
SOUTHRIDGE DENTAL ARTS PLLC
8383 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-5249
Phone number: 405-474-6362
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Mailing Address
SOUTHRIDGE DENTAL ARTS PLLC
3901 E COVELL RD
EDMOND, OK 73034-6909
Phone number: 405-474-6362
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