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Contact Information

DENTAL DEPOT MID WEST CITY
5691 TINKER DIAGONAL
MIDWEST CITY, OK73110
 Phone: 405-737-5123
 Fax: 405-737-5125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL DEPOT MID WEST CITY · (Female)

NPI Number 1245434166
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2007
Last updated 06/25/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 3723
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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