Orthodontic Specialists Of Shawnee

NPI 1275921769 - Dentist - 1223X0400X

NPI Details
NPI 1275921769
Enumeration Date 01/06/2015
Last Updated 01/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL MICHAEL
Position MENAGER
Phone (405) 275-7520
Fax (405) 275-4787
Practice Location
18 E DUNLOUP RD
SHAWNEE OK, 74804-3203, US
Phone (405) 275-7520
Fax (405) 275-4787
Business Location
18 E DUNLOUP RD
SHAWNEE OK, 74804-3203, US
Phone (405) 275-7520
Fax (405) 275-4787
Toxanomy
Taxonomy Code 1223X0400X
License State Oklahoma
License Number 6097
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According to our database, Orthodontic Specialists Of Shawnee NPI is 1275921769, taxonomy code is 1223X0400X and license number is 6097, license state is located at Oklahoma. Orthodontic Specialists Of Shawnee physically located at 18 E Dunloup Rd, Shawnee OK, 74804-3203. NPI Number 1033115704 has the healthcare provider type.

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1275921769 NPI number is provided on an as is basis without warranty of any kind. 1275921769 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Specialists Of Shawnee are for informational purposes only.