| Gilstrap Services Llc | |
|
4404 W Houston St Broken Arrow OK 74012-4645 | |
| (918) 392-0575 | |
| Not Available |
| Full Name | Gilstrap Services Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4404 W Houston St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Mark Gilstrap (OWNER) |
| Authorized Official Contact | 9288992403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilstrap Services Llc 4404 W Houston St Broken Arrow OK 74012-4645 Ph: (918) 392-0575 | Gilstrap Services Llc 4404 W Houston St Broken Arrow OK 74012-4645 Ph: (918) 392-0575 |
| NPI Number | 1588400873 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588400873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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