| Mahant Dental Pllc | |
|
1112 Sw 30th Ct Ste 105 Moore OK 73160-2888 | |
| (405) 979-0511 | |
| Not Available |
| Full Name | Mahant Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1112 Sw 30th Ct Ste 105, Moore, Oklahoma |
| Authorized Official Name and Position | Arth Patel (OWNER) |
| Authorized Official Contact | 4059790511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahant Dental Pllc 1112 Sw 30th Ct Ste 105 Moore OK 73160-2888 Ph: (405) 979-0511 | Mahant Dental Pllc 1112 Sw 30th Ct Ste 105 Moore OK 73160-2888 Ph: (405) 979-0511 |
| NPI Number | 1073382651 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073382651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Dental Depot Orthodontics Moore, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2709 S I 35 Frontage Rd Ste A, Moore, OK 73160 Phone: 405-957-5440 Fax: 405-957-5542 | |
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