TALA AL AWWAD
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1457210494- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1829 S WOOD DR, OKMULGEE, OK, 744476825
- Phone
- (918) 756-6500
Specialties & Taxonomies
Dentist
Primary License: OK #8235