| NPI | 1164798757 |
|---|---|
| Doing Business As | ADVENTURE DENTAL OF TULSA |
| Entity Type | Organization |
| Authorized Contact | RENEE BERRYHILL Credentialing Specialist 719-576-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-07-26 |