| Affordable Dentures-midwest City, P.c. | |
|
5301 Main Street Suite 111 Del City OK 73115 | |
| (405) 672-0214 | |
| (405) 672-0226 |
| Full Name | Affordable Dentures-midwest City, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 5301 Main Street, Del City, Oklahoma |
| Authorized Official Name and Position | Richard L. Fentem (OWNER) |
| Authorized Official Contact | 4056720214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Dentures-midwest City, P.c. 5301 Main Street Suite 111 Del City OK 73115 Ph: (405) 672-0214 | Affordable Dentures-midwest City, P.c. 5301 Main Street Suite 111 Del City OK 73115 Ph: (405) 672-0214 |
| NPI Number | 1164834701 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164834701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4410 (Oklahoma) | Primary |
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› Verified 9 days ago
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