| Mid-del Dental Solutions, P.c. | |
|
4341 Se 15th St Del City OK 73115-3001 | |
| (405) 670-3800 | |
| (405) 670-3803 |
| Full Name | Mid-del Dental Solutions, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4341 Se 15th St, Del City, Oklahoma |
| Authorized Official Name and Position | Charles L Goodwin (OWNER) |
| Authorized Official Contact | 4056703800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-del Dental Solutions, P.c. 4341 Se 15th St Del City OK 73115-3001 Ph: (405) 670-3800 | Mid-del Dental Solutions, P.c. 4341 Se 15th St Del City OK 73115-3001 Ph: (405) 670-3800 |
| NPI Number | 1811164726 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811164726 | NPI | - | NPPES |
| 200108490-A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3935 (Oklahoma) | Primary |
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› Verified 9 days ago
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