Mustang Family Dental | |
1444 N Mustang Rd Mustang OK 73064-7214 | |
(405) 376-3320 | |
(405) 376-9450 |
Full Name | Mustang Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1444 N Mustang Rd, Mustang, Oklahoma |
Authorized Official Name and Position | Callie D Bouziden (DENTIST/OWNER) |
Authorized Official Contact | 4053763320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mustang Family Dental 1444 N Mustang Rd Mustang OK 73064-7214 Ph: () - | Mustang Family Dental 1444 N Mustang Rd Mustang OK 73064-7214 Ph: (405) 376-3320 |
NPI Number | 1902276025 |
---|---|
Provider Enumeration Date | 10/01/2015 |
Last Update Date | 11/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902276025 | NPI | - | NPPES |
1649591033 | Other | OK | NPI |
1770996084 | Other | OK | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6183 (Oklahoma) | Primary |
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› Verified 2 days ago
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