Family Smiles Dentistry, Pllc

NPI 1710010285 - Dentist - 1223G0001X

NPI Details
NPI 1710010285
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EVAN DALE EVAN
Position OWNER
Phone (918) 251-3333
Fax
Practice Location
300 N ASPEN AVE
BROKEN ARROW OK, 74012-2205, US
Phone (918) 251-3333
Fax
Business Location
16534 E 49TH PL
TULSA OK, 74134-7190, US
Phone (918) 251-8999
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5817
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According to our database, Family Smiles Dentistry, Pllc NPI is 1710010285, taxonomy code is 1223G0001X and license number is 5817, license state is located at Oklahoma. Family Smiles Dentistry, Pllc physically located at 300 N Aspen Ave, Broken Arrow OK, 74012-2205. NPI Number 1033115704 has the healthcare provider type.

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1710010285 NPI number is provided on an as is basis without warranty of any kind. 1710010285 is maintained by the National Plan & Provider Enumeration System. The contents of Family Smiles Dentistry, Pllc are for informational purposes only.