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1083661227
KENNETH DAVID TRICINELLA
TULSA, OK
NPI
1083661227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 4144)
Enumeration Date
2006-05-30
Last Update Date
2007-07-08
Business Address
Dr. KENNETH DAVID TRICINELLA DDS
6128 E 61ST ST
TULSA, OK 74136-2117
Phone number: 918-496-8268
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Mailing Address
Dr. KENNETH DAVID TRICINELLA DDS
6128 E 61ST ST
TULSA, OK 74136-2117
Phone number: 918-496-8268
Copy
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