Edmond Dental Associates

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NPI Provider: 1407838113
Contact Name: Willcox V. Ralph
Position: owner, dentist
Phone: (405) 341-8804

Edmond Dental Associates Information:

Edmond Dental Associates organization have npi 1407838113, taxonomy code is 122300000X with license number is 4715 in . This Business address located in PO Box 7326, Edmond, OK 73083 Oklahoma.

Practice Location
Address: 950 Medical Park Blvd, Edmond, OK 73013
Phone: (405) 341-8804

Business Location
Address: PO Box 7326, Edmond, OK 73083
Phone: (405) 341-8804
Fax: (405) 341-4967

Taxonomy

Taxonomy Code: 122300000X

License Number: 4715

License Number of State: OK

Primary Taxonomy Switch: Y

Enumeration Date: 11/17/2005

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