| NPI | 1558003905 |
|---|---|
| Doing Business As | DEER CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHNNA MICHELLE JORDAN Director Of Clinical Operations 918-960-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |