| Senior Dental Care Of Il, Llc | |
|
7101 Nw 150th St Ste 100 Oklahoma City OK 73142-9716 | |
| (913) 594-3088 | |
| Not Available |
| Full Name | Senior Dental Care Of Il, Llc |
|---|---|
| Speciality | Dentist |
| Location | 7101 Nw 150th St Ste 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Deren Flesher (OWNER) |
| Authorized Official Contact | 9135943088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Dental Care Of Il, Llc 8500 W 110th St Ste 450 Overland Park KS 66210-4029 Ph: (913) 594-3088 | Senior Dental Care Of Il, Llc 7101 Nw 150th St Ste 100 Oklahoma City OK 73142-9716 Ph: (913) 594-3088 |
| NPI Number | 1689216897 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689216897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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