| Boomer Family Dentistry, Pllc | |
|
801 24th Ave Nw Norman OK 73069-6313 | |
| (405) 360-9117 | |
| Not Available |
| Full Name | Boomer Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 24th Ave Nw, Norman, Oklahoma |
| Authorized Official Name and Position | Patti Klein (OFFICE MANAGER) |
| Authorized Official Contact | 4053609117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boomer Family Dentistry, Pllc 801 24th Ave Nw Norman OK 73069-6313 Ph: (405) 360-9117 | Boomer Family Dentistry, Pllc 801 24th Ave Nw Norman OK 73069-6313 Ph: (405) 360-9117 |
| NPI Number | 1407252117 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407252117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5906 (Oklahoma) | Primary |
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