Organization · NPI-2

32tcd PLLC

Dentist · Tulsa, OK

NPI number1336854231
StatusActive
Last updated in NPPESJan 16, 2023

Details

NPI
1336854231
Entity type
Organization (NPI-2)
Legal business name
32tcd PLLC
Organization subpart
No
Enumeration date
Jan 16, 2023
Certification date
Jan 16, 2023
Last updated
Jan 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes
1223P0221X Dentist, Pediatric Dentistry––

Other names

  • Tulsa Childrens Dentistry (Doing Business As)

Practice location

9729 E 79th St
Tulsa, OK 74133-4566

Phone 918-250-5030 · Fax 918-254-8977

Mailing address

9729 E 79th St
Tulsa, OK 74133-4566

Phone 918-250-5030 · Fax 918-254-8977

Authorized official

Brandi Williams
Vp Of Growth
4052502255

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