Organization · Type 2 NPI
Dental Depot of 63rd & NW Expressway, PLLC
Dental Clinic/Center · Oklahoma City, OK
NPI number
1861058877
Active
Practice location
4025 NW 63rd Street
Oklahoma City, OK 73116
Fax (405) 653-1714
Mailing address
2828 NW 30th St
Oklahoma City, OK 73112-7404
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 1861058877
Dental Depot of 63rd & NW Expressway, PLLC's National Provider Identifier is 1861058877, issued on May 15, 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 Jun 25, 2021.