EAST 111 FAMILY DENTISTRY PLLC

BIXBY, OK
NPI1649881582
Entity TypeOrganization
Authorized ContactFAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
EAST 111 FAMILY DENTISTRY PLLC
8194 E 111TH ST S
BIXBY, OK 74008-2421
Phone number: 918-369-6118
Mailing Address
EAST 111 FAMILY DENTISTRY PLLC
8194 E 111TH ST S
BIXBY, OK 74008-2421
Phone number: 918-369-6118