DENTAL DEPOT OF MUSTANG, PLLC

OKLAHOMA CITY, OK
NPI1679323182
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Director Of Provider Relations
918-742-2123
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
DENTAL DEPOT OF MUSTANG, PLLC
2825 S MUSTANG ROAD
OKLAHOMA CITY, OK 73099
Phone number: 405-289-0123
Mailing Address
DENTAL DEPOT OF MUSTANG, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 918-742-2123
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