| Garry E. Anderson, D.m.d., Inc. | |
|
4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 | |
| (918) 742-2096 | |
| Not Available |
| Full Name | Garry E. Anderson, D.m.d., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4415 S Harvard Ave Ste 102, Tulsa, Oklahoma |
| Authorized Official Name and Position | Garry E Anderson (OWNER) |
| Authorized Official Contact | 9187422096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garry E. Anderson, D.m.d., Inc. 4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 Ph: (918) 742-2096 | Garry E. Anderson, D.m.d., Inc. 4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 Ph: (918) 742-2096 |
| NPI Number | 1184898264 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184898264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4681 (Oklahoma) | Primary |
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