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7707 E 111th St Suite 105 Tulsa OK 74133-2557 | |
| (918) 299-7750 | |
| (918) 296-9717 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7707 E 111th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Margaret Ann Merrill (DENTIST/OWNER) |
| Authorized Official Contact | 9182997750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7707 E 111th St Suite 105 Tulsa OK 74133-2557 Ph: (918) 299-7750 | 7707 E 111th St Suite 105 Tulsa OK 74133-2557 Ph: (918) 299-7750 |
| NPI Number | 1932361839 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932361839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5492 (Oklahoma) | Primary |
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