| New Image Dentistry, Pc | |
|
1900 E 15th St Ste 700a Edmond OK 73013-6692 | |
| (405) 285-8880 | |
| (405) 285-8881 |
| Full Name | New Image Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1900 E 15th St Ste 700a, Edmond, Oklahoma |
| Authorized Official Name and Position | Miriam Nosrati (DENTIST) |
| Authorized Official Contact | 4052858880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentistry, Pc 1900 E 15th St Ste 700a Edmond OK 73013-6692 Ph: (405) 285-8880 | New Image Dentistry, Pc 1900 E 15th St Ste 700a Edmond OK 73013-6692 Ph: (405) 285-8880 |
| NPI Number | 1568630648 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568630648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5705 (Oklahoma) | Primary |
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Martha L Garzon Dmd, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Kelly Ave Ste C1, Edmond, OK 73003 Phone: 405-348-5757 Fax: 405-348-8221 | |
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