DDSI SOUTH AEC LLC
Ambulatory Health at Western, Oklahoma City, OK

License number
Oklahoma 0075
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. BILL R. DAVIS
Title: ADMINISTRATOR
Phone: (405) 767-6630
Address
Address 2
4201 SOUTH Western Ave STE. 4000, Oklahoma City, OK 73109
PO Box 7316, Edmond, OK 73083
National Provider ID: 1043253263
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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