PEDIATRIC DENTAL GROUP II, LLC

MIDWEST CITY, OK
NPI1912553215
Entity TypeOrganization
Authorized ContactSHAUN URBANOZO
Credentialing Manager
719-323-2362
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-08-13
Last Update Date2020-03-30
Business Address
PEDIATRIC DENTAL GROUP II, LLC
1200 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110-4866
Phone number: 918-872-7009
Mailing Address
PEDIATRIC DENTAL GROUP II, LLC
2221 E BIJOU ST STE 100
COLORADO SPRINGS, CO 80909-8009
Phone number: 719-576-1850
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