| R2center For Dentistry | |
|
2619 S Elm Pl Broken Arrow OK 74012-7878 | |
| (918) 455-0811 | |
| (918) 451-4787 |
| Full Name | R2center For Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2619 S Elm Pl, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Terra L. Reusser (DENTIST/OWNER) |
| Authorized Official Contact | 3162493929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R2center For Dentistry 2619 S Elm Pl Broken Arrow OK 74012-7878 Ph: (918) 455-0811 | R2center For Dentistry 2619 S Elm Pl Broken Arrow OK 74012-7878 Ph: (918) 455-0811 |
| NPI Number | 1831305580 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831305580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3804 (Oklahoma) | Primary |
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