| Noda Pllc | |
|
427 W Doolin Ave Blackwell OK 74631-1602 | |
| (580) 670-9100 | |
| Not Available |
| Full Name | Noda Pllc |
|---|---|
| Speciality | Dentist |
| Location | 427 W Doolin Ave, Blackwell, Oklahoma |
| Authorized Official Name and Position | Joshua Brasher (DENTIST) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noda Pllc 427 W Doolin Ave Blackwell OK 74631-1602 Ph: (580) 670-9100 | Noda Pllc 427 W Doolin Ave Blackwell OK 74631-1602 Ph: (580) 670-9100 |
| NPI Number | 1922765452 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922765452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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