Organization · NPI-2

1st Family Dental Of Tulsa

Dentist · Tulsa, OK

NPI number1922410331
StatusActive
Last updated in NPPESJun 9, 2015

Details

NPI
1922410331
Entity type
Organization (NPI-2)
Legal business name
1st Family Dental Of Tulsa
Organization subpart
No
Enumeration date
May 21, 2014
Last updated
Jun 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5990OKYes

Practice location

2840 E 101st St
Tulsa, OK 74137-5601

Phone 918-518-6305

Mailing address

4901 N Kedzie Ave
Chicago, IL 60625-5009

Phone 773-340-8318

Authorized official

Vesna Belkic
Chief Operating Officer
7733408318

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