| Sweet Tooth Pediatric Dentistry | |
|
10404 Sw 51st Street Mustang OK 73064 | |
| (845) 527-8184 | |
| Not Available |
| Full Name | Sweet Tooth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10404 Sw 51st Street, Mustang, Oklahoma |
| Authorized Official Name and Position | Tiana Osbourne (OWNER/ CEO) |
| Authorized Official Contact | 8455278184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Tooth Pediatric Dentistry 10404 Sw 51st Street Mustang OK 73064 Ph: (845) 527-8184 | Sweet Tooth Pediatric Dentistry 10404 Sw 51st Street Mustang OK 73064 Ph: (845) 527-8184 |
| NPI Number | 1396568465 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396568465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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