CUSTOM DENTAL OF OWASSO, PLLC

Dentist

Active Organization
NPI: 1659689248

Practice Address

11501 N. 135TH EAST AVE
Owasso, OK 74055

Phone: (918) 371-7645

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 6099 (OK)

Frequently Asked Questions

NPI 1659689248 is the National Provider Identifier for CUSTOM DENTAL OF OWASSO, PLLC, a Dentist provider located in Owasso, OK. This NPI was enumerated on September 17, 2010.

Quick Facts

NPI
1659689248
Type
Organization
Enumerated
Sep 17, 2010
Last Updated
Sep 17, 2010

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