| Tangelo Orthodontics, Pllc | |
|
9101 S Toledo Ave Ste A Tulsa OK 74137-2719 | |
| (918) 523-4999 | |
| Not Available |
| Full Name | Tangelo Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9101 S Toledo Ave Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | Matthew Bradley Hall (OWNER) |
| Authorized Official Contact | 9185234999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangelo Orthodontics, Pllc 9101 S Toledo Ave Ste A Tulsa OK 74137-2719 Ph: (918) 523-4999 | Tangelo Orthodontics, Pllc 9101 S Toledo Ave Ste A Tulsa OK 74137-2719 Ph: (918) 523-4999 |
| NPI Number | 1598433278 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598433278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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