| Dr Christian H Pilgrim Dds Pc | |
|
717 Sw 119th St Oklahoma City OK 73170 | |
| (405) 691-0836 | |
| (405) 691-0480 |
| Full Name | Dr Christian H Pilgrim Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 717 Sw 119th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Christian H Pilgrim (OWNER / DENTIST) |
| Authorized Official Contact | 4056910836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christian H Pilgrim Dds Pc 717 Sw 119th St Oklahoma City OK 73170 Ph: (405) 691-0836 | Dr Christian H Pilgrim Dds Pc 717 Sw 119th St Oklahoma City OK 73170 Ph: (405) 691-0836 |
| NPI Number | 1669449872 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669449872 | NPI | - | NPPES |
| 1309163 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5554 (Oklahoma) | Primary |
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