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1205512779
DENTAL DEPOT OF DEL CITY, PLLC
DEL CITY, OK
NPI
1205512779
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Entity Type
Organization
Authorized Contact
GAYLON ZISSA
Director Of Provider Relations
405-945-8941
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
DENTAL DEPOT OF DEL CITY, PLLC
5004 SE 29TH ST
DEL CITY, OK 73115-4710
Phone number: 405-477-8123
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Mailing Address
DENTAL DEPOT OF DEL CITY, PLLC
5004 SE 29TH ST
DEL CITY, OK 73115-4710
Phone number: 405-477-8123
Copy
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