| Broken Arrow Dental And Implants, Llc | |
|
2109 W Washington St Broken Arrow OK 74012-6801 | |
| (918) 455-0123 | |
| Not Available |
| Full Name | Broken Arrow Dental And Implants, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2109 W Washington St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Brad Nelson (OWNER) |
| Authorized Official Contact | 4052606080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Arrow Dental And Implants, Llc 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 | Broken Arrow Dental And Implants, Llc 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 |
| NPI Number | 1568123438 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568123438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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