| Kids Dental | |
|
10346 E 21st St Tulsa OK 74129-1606 | |
| (720) 532-3333 | |
| Not Available |
| Full Name | Kids Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10346 E 21st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Soomin Hong (CEO) |
| Authorized Official Contact | 7205323333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental 10346 E 21st St Tulsa OK 74129-1606 Ph: (720) 532-3333 | Kids Dental 10346 E 21st St Tulsa OK 74129-1606 Ph: (720) 532-3333 |
| NPI Number | 1386897684 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386897684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6006 (Oklahoma) | Primary |
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