| Hetrick & Holloman Dds Pllc | |
|
218 E 10th Street Plz Edmond OK 73034-4737 | |
| (405) 341-7046 | |
| Not Available |
| Full Name | Hetrick & Holloman Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 218 E 10th Street Plz, Edmond, Oklahoma |
| Authorized Official Name and Position | Beverly Rosenhamer (OFFICE MANAGER) |
| Authorized Official Contact | 4053417046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hetrick & Holloman Dds Pllc 218 E 10th Street Plz Edmond OK 73034-4737 Ph: (405) 341-7046 | Hetrick & Holloman Dds Pllc 218 E 10th Street Plz Edmond OK 73034-4737 Ph: (405) 341-7046 |
| NPI Number | 1083175186 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083175186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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James E. Farley, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 E 10th Street Plz, Edmond, OK 73034 Phone: 405-348-5100 |