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1366103244
SOUTHARD FAMILY DENTAL, LLC
TULSA, OK
NPI
1366103244
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Entity Type
Organization
Authorized Contact
LOREN PAUL ISRAELSEN
CEO
275-773-0432
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-01-04
Last Update Date
2023-09-06
Business Address
SOUTHARD FAMILY DENTAL, LLC
6333 S MEMORIAL DR
TULSA, OK 74133-1948
Phone number: 918-294-1144
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Mailing Address
SOUTHARD FAMILY DENTAL, LLC
6333 S MEMORIAL DR
TULSA, OK 74133-1948
Phone number: 918-294-1144
Copy
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