| Eclipse Smiles, Pllc | |
|
12190 S Waco Ave Ste B Glenpool OK 74033-5661 | |
| (918) 943-0282 | |
| Not Available |
| Full Name | Eclipse Smiles, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12190 S Waco Ave Ste B, Glenpool, Oklahoma |
| Authorized Official Name and Position | Christian Andrus (OWNER) |
| Authorized Official Contact | 9189430282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclipse Smiles, Pllc 14001 S Joplin Ave Bixby OK 74008-4155 Ph: () - | Eclipse Smiles, Pllc 12190 S Waco Ave Ste B Glenpool OK 74033-5661 Ph: (918) 943-0282 |
| NPI Number | 1932835725 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932835725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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