| Cda2026 | |
|
20926 Se 29th St Ste A Harrah OK 73045-6610 | |
| (405) 445-6999 | |
| Not Available |
| Full Name | Cda2026 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20926 Se 29th St Ste A, Harrah, Oklahoma |
| Authorized Official Name and Position | Brandi a Williams (CHIEF GROWTH OFFICER) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cda2026 1900 Nw Expwy St Ste 1600 Oklahoma City OK 73118-1839 Ph: (918) 786-0017 | Cda2026 20926 Se 29th St Ste A Harrah OK 73045-6610 Ph: (405) 445-6999 |
| NPI Number | 1356257513 |
|---|---|
| Provider Enumeration Date | 08/19/2026 |
| Last Update Date | 08/19/2026 |
| Certification Date | 08/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356257513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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