Whalio Doctors

NPI 1902276025

Mustang Family Dental

Organisation General Practice Dentistry Mustang, OK

Practice location

Address
1444 N Mustang Rd, Mustang, OK 73064-7214
Phone
(405) 376-3320
Fax
(405) 376-9450

Authorised official

Name
Callie D Bouziden
Title
Dentist/Owner
Phone
(405) 376-3320

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 6183 (OK)

Registry record

NPI
1902276025
Entity type
Organization
NPI issued
1 Oct 2015
Record last updated
9 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.