Dental Depot Of Del City, Pllc | |
5004 Se 29th St Del City OK 73115-4710 | |
(405) 477-8123 | |
(405) 669-2850 |
Full Name | Dental Depot Of Del City, Pllc |
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Speciality | Dentist |
Location | 5004 Se 29th St, Del City, Oklahoma |
Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
Authorized Official Contact | 4059458941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Depot Of Del City, Pllc 5004 Se 29th St Del City OK 73115-4710 Ph: (405) 477-8123 | Dental Depot Of Del City, Pllc 5004 Se 29th St Del City OK 73115-4710 Ph: (405) 477-8123 |
NPI Number | 1205512779 |
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Provider Enumeration Date | 06/27/2023 |
Last Update Date | 06/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205512779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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