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3345 S Harvard Ave Ste 102 Tulsa OK 74135-1800 | |
| (918) 743-8539 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3345 S Harvard Ave Ste 102, Tulsa, Oklahoma |
| Authorized Official Name and Position | Daniel Griffiths (MANAGING MEMBER) |
| Authorized Official Contact | 9187438539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3345 S Harvard Ave Ste 102 Tulsa OK 74135-1800 Ph: (918) 743-8539 | 3345 S Harvard Ave Ste 102 Tulsa OK 74135-1800 Ph: (918) 743-8539 |
| NPI Number | 1861861510 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861861510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6243 (Oklahoma) | Primary |
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