Catoosa Dental Care, Plc

NPI 1073712949 - Dentist - 1223G0001X

NPI Details
NPI 1073712949
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL LEON MICHAEL
Position PRESIDENT
Phone (918) 266-3866
Fax (918) 266-3880
Practice Location
1755 N HIGHWAY 66
SUITE # D
CATOOSA OK, 74015-2409, US
Phone (918) 266-3866
Fax (918) 266-3880
Business Location
PO BOX 1227
CATOOSA OK, 74015-1227, US
Phone (918) 266-3866
Fax (918) 266-3880
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5182
Remove 1073712949 NPI Number
 

According to our database, Catoosa Dental Care, Plc NPI is 1073712949, taxonomy code is 1223G0001X and license number is 5182, license state is located at Oklahoma. Catoosa Dental Care, Plc physically located at 1755 N Highway 66, Catoosa OK, 74015-2409. NPI Number 1033115704 has the healthcare provider type.

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1073712949 NPI number is provided on an as is basis without warranty of any kind. 1073712949 is maintained by the National Plan & Provider Enumeration System. The contents of Catoosa Dental Care, Plc are for informational purposes only.