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1417529801
TULSA PROSTH PLLC
TULSA, OK
NPI
1417529801
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Entity Type
Organization
Authorized Contact
MIKE YATES
CFO
918-998-0996
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
TULSA PROSTH PLLC
6565 S YALE AVE STE 1012
TULSA, OK 74136-8311
Phone number: 918-743-1558
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Mailing Address
TULSA PROSTH PLLC
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number: 918-998-0996
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