Oklahoma Restorative | |
1943 W 33rd St Ste 100 Edmond OK 73013-3910 | |
(405) 906-3345 | |
(405) 906-3426 |
Full Name | Oklahoma Restorative |
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Speciality | Clinic/center |
Location | 1943 W 33rd St Ste 100, Edmond, Oklahoma |
Authorized Official Name and Position | Melinda Valls Mackey (OWNER) |
Authorized Official Contact | 4059063345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oklahoma Restorative 1943 W 33rd St Ste 100 Edmond OK 73013-3910 Ph: (405) 906-3345 | Oklahoma Restorative 1943 W 33rd St Ste 100 Edmond OK 73013-3910 Ph: (405) 906-3345 |
NPI Number | 1841042660 |
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Provider Enumeration Date | 04/04/2024 |
Last Update Date | 04/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841042660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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