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1649881582
EAST 111 FAMILY DENTISTRY PLLC
BIXBY, OK
NPI
1649881582
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Entity Type
Organization
Authorized Contact
FAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
EAST 111 FAMILY DENTISTRY PLLC
8194 E 111TH ST S
BIXBY, OK 74008-2421
Phone number: 918-369-6118
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Mailing Address
EAST 111 FAMILY DENTISTRY PLLC
8194 E 111TH ST S
BIXBY, OK 74008-2421
Phone number: 918-369-6118
Copy
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