| Wrany R. Southard, D.d.s., P.c. | |
|
6333 S Memorial Dr Suite G Tulsa OK 74133-1948 | |
| (918) 294-1144 | |
| (918) 294-0884 |
| Full Name | Wrany R. Southard, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6333 S Memorial Dr, Tulsa, Oklahoma |
| Authorized Official Name and Position | Robin Southard (OFFICE MANAGER) |
| Authorized Official Contact | 9182941144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wrany R. Southard, D.d.s., P.c. 6333 S Memorial Dr Suite G Tulsa OK 74133-1948 Ph: (918) 294-1144 | Wrany R. Southard, D.d.s., P.c. 6333 S Memorial Dr Suite G Tulsa OK 74133-1948 Ph: (918) 294-1144 |
| NPI Number | 1376722314 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376722314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5455 (Oklahoma) | Primary |
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