DENTAL DEPOT SOUTH

OKLAHOMA CITY, OK
NPI1578768180
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Director Provider Relations
405-691-1123
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-06-15
Last Update Date2021-06-25
Business Address
DENTAL DEPOT SOUTH
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139-2990
Phone number: 405-691-1123
Mailing Address
DENTAL DEPOT SOUTH
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-691-1123
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