Dental Masterpieces PLLC
Clinic/Center, Dental in Tulsa, OK. Organization (NPI-2).
NPI number1568097590
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1568097590
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Masterpieces PLLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
3920 E 91st StTulsa, OK 74137-3602
Phone 918-496-2481
Mailing address
3920 E 91st StTulsa, OK 74137-3602
Phone 918-496-2481
Authorized official
Priscila Jelsing
President
9186718748
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