BLUE RIVER SMILES PLLC

TISHOMINGO, OK
NPI1760069520
Entity TypeOrganization
Authorized ContactJOSHUA BRASHER
President
405-474-6362
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
BLUE RIVER SMILES PLLC
1202 E MAIN ST
TISHOMINGO, OK 73460-2409
Phone number: 580-371-2396
Mailing Address
BLUE RIVER SMILES PLLC
3901 E COVELL RD
EDMOND, OK 73034-6909
Phone number: 405-359-0808
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