Organization · Type 2 NPI

Cda2026

Dental Clinic/Center · Harrah, OK

NPI number 1356257513 Active

Practice location

20926 SE 29th St Ste A
Harrah, OK 73045-6610

Mailing address

1900 NW Expwy St Ste 1600
Oklahoma City, OK 73118-1839

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1356257513

Cda2026's National Provider Identifier is 1356257513, issued on Aug 19, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Harrah, OK. The record was last updated on Aug 19, 2026.