Myrna Domoney, Dds | |
1621 S Eucalyptus Ave Suite 101 Broken Arrow OK 74133 | |
(918) 250-0624 | |
(918) 250-9437 |
Full Name | Myrna Domoney, Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 1621 S Eucalyptus Ave, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Myrna Byers Domoney (DENTIST) |
Authorized Official Contact | 9182500624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Myrna Domoney, Dds 1621 S Eucalyptus Ave Suite 101 Broken Arrow OK 74133 Ph: (918) 250-0624 | Myrna Domoney, Dds 1621 S Eucalyptus Ave Suite 101 Broken Arrow OK 74133 Ph: (918) 250-0624 |
NPI Number | 1861597866 |
---|---|
Provider Enumeration Date | 09/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861597866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5042 (Oklahoma) | Primary |
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