Wisdom Tooth Center, Pllc | |
2745 S I 35 Service Rd Moore OK 73160-2715 | |
(405) 271-4955 | |
Not Available |
Full Name | Wisdom Tooth Center, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2745 S I 35 Service Rd, Moore, Oklahoma |
Authorized Official Name and Position | Kevin S Smith (PARTNER) |
Authorized Official Contact | 4052714955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wisdom Tooth Center, Pllc 2745 S I 35 Service Rd Moore OK 73160-2715 Ph: () - | Wisdom Tooth Center, Pllc 2745 S I 35 Service Rd Moore OK 73160-2715 Ph: (405) 271-4955 |
NPI Number | 1801303888 |
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Provider Enumeration Date | 12/29/2017 |
Last Update Date | 12/29/2017 |
Identifier | Type | State | Issuer |
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1801303888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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