| Tulsa Cosmetic Dental Center | |
|
9445 S Mingo Rd Tulsa OK 74133-5792 | |
| (918) 496-1919 | |
| Not Available |
| Full Name | Tulsa Cosmetic Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 9445 S Mingo Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jerome Y Cha (PRESIDENT) |
| Authorized Official Contact | 9184961919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Cosmetic Dental Center 9445 S Mingo Rd Tulsa OK 74133-5792 Ph: (918) 496-1919 | Tulsa Cosmetic Dental Center 9445 S Mingo Rd Tulsa OK 74133-5792 Ph: (918) 496-1919 |
| NPI Number | 1821257890 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821257890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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