Stoltenberg Dental Pllc | |
707 24th Ave Sw Ste 201 Norman OK 73069-3957 | |
(405) 364-6064 | |
Not Available |
Full Name | Stoltenberg Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 707 24th Ave Sw Ste 201, Norman, Oklahoma |
Authorized Official Name and Position | Braden Hofman Stoltenberg (DENTIST/CEO) |
Authorized Official Contact | 4054061529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stoltenberg Dental Pllc 4503 Green Field Cir Norman OK 73072-3131 Ph: (405) 406-1529 | Stoltenberg Dental Pllc 707 24th Ave Sw Ste 201 Norman OK 73069-3957 Ph: (405) 364-6064 |
NPI Number | 1063954642 |
---|---|
Provider Enumeration Date | 11/14/2016 |
Last Update Date | 11/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063954642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6118 (Oklahoma) | Primary |
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