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1407384639
SCOTT DOUGLAS STREET
TULSA, OK
NPI
1407384639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 6916)
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
Dr. SCOTT DOUGLAS STREET DDS
5510 E 41ST ST STE C
TULSA, OK 74135-6009
Phone number: 918-347-6092
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Mailing Address
Dr. SCOTT DOUGLAS STREET DDS
10628 E 74TH ST
TULSA, OK 74133-2540
Phone number: 918-671-7345
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