59th Street Dental Health Center, P.c.

NPI 1306257696 - Dentist - 1223G0001X

NPI Details
NPI 1306257696
Enumeration Date 05/08/2014
Last Updated 05/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TRAVIS TRAVIS
Position OWNER
Phone (405) 631-2700
Fax
Practice Location
309 SW 59TH ST STE 105
OKLAHOMA CITY OK, 73109-8322, US
Phone (405) 631-2700
Fax
Business Location
309 SW 59TH ST STE 105
OKLAHOMA CITY OK, 73109-8322, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 6574
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According to our database, 59th Street Dental Health Center, P.c. NPI is 1306257696, taxonomy code is 1223G0001X and license number is 6574, license state is located at Oklahoma. 59th Street Dental Health Center, P.c. physically located at 309 Sw 59th St Ste 105, Oklahoma City OK, 73109-8322. NPI Number 1033115704 has the healthcare provider type.

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1306257696 NPI number is provided on an as is basis without warranty of any kind. 1306257696 is maintained by the National Plan & Provider Enumeration System. The contents of 59th Street Dental Health Center, P.c. are for informational purposes only.