Okdds Pllc | |
301 E 141st St Glenpool OK 74033-3537 | |
(918) 291-6000 | |
Not Available |
Full Name | Okdds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 301 E 141st St, Glenpool, Oklahoma |
Authorized Official Name and Position | Josh V Brasher (OWNER) |
Authorized Official Contact | 4052502255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Okdds Pllc 301 E 141st St Glenpool OK 74033-3537 Ph: (918) 291-6000 | Okdds Pllc 301 E 141st St Glenpool OK 74033-3537 Ph: (918) 291-6000 |
NPI Number | 1477375376 |
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Provider Enumeration Date | 10/30/2024 |
Last Update Date | 10/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477375376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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