Organization · Type 2 NPI
Phillip J Elassal DDS PLLC
Dental Clinic/Center · Oklahoma City, OK
NPI number
1053959247
Active
Practice location
1601 SW 89th Street #G500
Oklahoma City, OK 73159
Fax (405) 682-2921
Mailing address
PO Box 890910
Oklahoma City, OK 73189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1053959247
Phillip J Elassal DDS PLLC's National Provider Identifier is 1053959247, issued on Dec 18, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 18, 2019.