Broken Arrow Dental And Implants, Llc | |
2109 W Washington St Broken Arrow OK 74012-6801 | |
(918) 455-0123 | |
Not Available |
Full Name | Broken Arrow Dental And Implants, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2109 W Washington St, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Brad Nelson (OWNER) |
Authorized Official Contact | 4052606080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broken Arrow Dental And Implants, Llc 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 | Broken Arrow Dental And Implants, Llc 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 |
NPI Number | 1568123438 |
---|---|
Provider Enumeration Date | 01/04/2022 |
Last Update Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568123438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 8 days ago
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