Hetrick & Holloman Dds Pllc | |
218 E 10th Street Plz Edmond OK 73034-4737 | |
(405) 341-7046 | |
Not Available |
Full Name | Hetrick & Holloman Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 218 E 10th Street Plz, Edmond, Oklahoma |
Authorized Official Name and Position | Beverly Rosenhamer (OFFICE MANAGER) |
Authorized Official Contact | 4053417046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hetrick & Holloman Dds Pllc 218 E 10th Street Plz Edmond OK 73034-4737 Ph: (405) 341-7046 | Hetrick & Holloman Dds Pllc 218 E 10th Street Plz Edmond OK 73034-4737 Ph: (405) 341-7046 |
NPI Number | 1083175186 |
---|---|
Provider Enumeration Date | 03/29/2019 |
Last Update Date | 03/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083175186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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