Cedar Creek Dental Care | |
735 E Kenosha St Broken Arrow OK 74012-2029 | |
(918) 251-1521 | |
(918) 258-4226 |
Full Name | Cedar Creek Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 735 E Kenosha St, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cedar Creek Dental Care 735 E Kenosha St Broken Arrow OK 74012-2029 Ph: (918) 251-1521 | Cedar Creek Dental Care 735 E Kenosha St Broken Arrow OK 74012-2029 Ph: (918) 251-1521 |
NPI Number | 1740468305 |
---|---|
Provider Enumeration Date | 02/06/2008 |
Last Update Date | 03/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740468305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3831 (Oklahoma) | Primary |
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