| Dental Implant Centre' | |
|
2401 N Commerce St Ardmore OK 73401-1280 | |
| (580) 226-0410 | |
| (580) 224-9124 |
| Full Name | Dental Implant Centre' |
|---|---|
| Speciality | Dentist |
| Location | 2401 N Commerce St, Ardmore, Oklahoma |
| Authorized Official Name and Position | Ronald Alan Bulard (OWNER) |
| Authorized Official Contact | 5802260410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implant Centre' 2401 N Commerce St Ardmore OK 73401-1280 Ph: (580) 226-0410 | Dental Implant Centre' 2401 N Commerce St Ardmore OK 73401-1280 Ph: (580) 226-0410 |
| NPI Number | 1114192945 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114192945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4684 (Oklahoma) | Primary |
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