KENOSHA BREEZE FAMILY DENTAL PLLC

BROKEN ARROW, OK
NPI1346724044
Entity TypeOrganization
Authorized ContactAMANDA LIGHTFOOT
Authorized Representative
214-702-0708
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-09-18
Last Update Date2023-05-08
Business Address
KENOSHA BREEZE FAMILY DENTAL PLLC
901 W KENOSHA ST
BROKEN ARROW, OK 74012-8918
Phone number: 918-258-8658
Mailing Address
KENOSHA BREEZE FAMILY DENTAL PLLC
15660 DALLAS PKWY STE 925
DALLAS, TX 75248-3323
Phone number: 214-702-0729
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