| Cedar Creek Dental Care | |
|
735 E Kenosha St Broken Arrow OK 74012-2029 | |
| (918) 251-1521 | |
| (918) 258-4226 |
| Full Name | Cedar Creek Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 735 E Kenosha St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Creek Dental Care 735 E Kenosha St Broken Arrow OK 74012-2029 Ph: (918) 251-1521 | Cedar Creek Dental Care 735 E Kenosha St Broken Arrow OK 74012-2029 Ph: (918) 251-1521 |
| NPI Number | 1740468305 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740468305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3831 (Oklahoma) | Primary |
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