Mid-del Complete Dental Care | |
1900 S Air Depot Blvd Suite 1 Midwest City OK 73110-5522 | |
(405) 455-1534 | |
Not Available |
Full Name | Mid-del Complete Dental Care |
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Speciality | Dentist - General Practice |
Location | 1900 S Air Depot Blvd, Midwest City, Oklahoma |
Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid-del Complete Dental Care 1900 S Air Depot Blvd Suite 1 Midwest City OK 73110-5522 Ph: () - | Mid-del Complete Dental Care 1900 S Air Depot Blvd Suite 1 Midwest City OK 73110-5522 Ph: (405) 455-1534 |
NPI Number | 1942620885 |
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Provider Enumeration Date | 04/18/2014 |
Last Update Date | 06/13/2016 |
Identifier | Type | State | Issuer |
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1942620885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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