Prattvile Family Dentistry Pc

NPI 1083747240 - Dentist - 1223G0001X

NPI Details
NPI 1083747240
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MEHRDAD MEHRDAD
Position DOCTOR
Phone (918) 245-5976
Fax (918) 245-2218
Practice Location
104 W 41ST ST
SAND SPRINGS OK, 74063-2709, US
Phone (918) 245-5976
Fax (918) 245-2218
Business Location
104 W 41ST ST
SAND SPRINGS OK, 74063-2709, US
Phone (918) 245-5976
Fax (918) 245-2218
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1083747240 NPI Number
 

According to our database, Prattvile Family Dentistry Pc NPI is 1083747240, taxonomy code is 1223G0001X Prattvile Family Dentistry Pc physically located at 104 W 41st St, Sand Springs OK, 74063-2709. NPI Number 1033115704 has the healthcare provider type.

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1083747240 NPI number is provided on an as is basis without warranty of any kind. 1083747240 is maintained by the National Plan & Provider Enumeration System. The contents of Prattvile Family Dentistry Pc are for informational purposes only.