| Hero Dental Of Okc Pc | |
|
4836 Nw 23rd St Oklahoma City OK 73127-1809 | |
| (719) 576-1850 | |
| Not Available |
| Full Name | Hero Dental Of Okc Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4836 Nw 23rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7195761850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hero Dental Of Okc Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: () - | Hero Dental Of Okc Pc 4836 Nw 23rd St Oklahoma City OK 73127-1809 Ph: (719) 576-1850 |
| NPI Number | 1124665401 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124665401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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