NICOMA PARK DENTAL PLLC

OKLAHOMA CITY, OK
NPI1518452952
Entity TypeOrganization
Authorized ContactJASON WALLACE
Owner
405-413-7466
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
NICOMA PARK DENTAL PLLC
10420 NE 23RD ST
OKLAHOMA CITY, OK 73141-5216
Phone number: 405-603-8520
Mailing Address
NICOMA PARK DENTAL PLLC
3801 N BRYAN AVE
BETHANY, OK 73008-3001
Phone number: 405-413-7466
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