| NPI | 1790437952 |
|---|---|
| Doing Business As | SOUTH TULSA KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CREED CARDON Owner 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-11-08 |