A GREAT PLACE TO SMILE
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1770824781- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5510 S MEMORIAL DR, TULSA, OK, 741459038
- Phone
- (918) 663-9990
- Fax
- (918) 622-9991
Specialties & Taxonomies
Dentist, General Practice
Primary License: OK #4774