NPI 1083062004

Angela J Rhodes, DDS

Practitioner Dentist Broken Arrow, OK

Practice location

Address: 2311 N 9th St STE 102, Broken Arrow, OK 74012-2887
Phone: (918) 994-2100
Fax: (918) 994-2101

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6828 (OK)

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Registry record

NPI: 1083062004
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2016
Record last updated: 17 Mar 2018

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.