MAIN STREET DENTAL, PLLC

NPI: 1679072664 · Organization · Active

Primary Specialty

Dental Clinic/Center
Clinic/Center — Dental

Practice Location

409 E MAIN ST
LOCUST GROVE, OK 74352-5116 Map ↗
Phone: 918-845-5505

All Specialties & Licenses

  • Dental Clinic/Center Primary — Dental (license: 6531, OK)

NPI Registration

Enumerated: 2018-02-06

Last CMS Update: 2018-03-02