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Norman, Oklahoma

Provider NPI: 1578036562

Organization Information:
Organization is not Subpart
Authorized Official:  JOSHUA  BRASHER  PRESIDENT  405-4746362

Practice Location:
2400 12TH AVE NE STE 140  NORMAN, OK 73071 US
Tel: 405-310-5285  Fax: --

Business Mailing Address:
Tel: 405-474-6362  Fax: --

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers


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