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1700871779
MICAH J BEVINS
TULSA, OK
NPI
1700871779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: OK 5650)
Enumeration Date
2005-09-15
Last Update Date
2007-07-08
Business Address
-- MICAH J BEVINS DDS
6349 S MEMORIAL DR SUITE B
TULSA, OK 74133-1940
Phone number: 918-252-4444
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Mailing Address
-- MICAH J BEVINS DDS
6349 S MEMORIAL DR SUITE B
TULSA, OK 74133-1940
Phone number: 918-252-4444
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