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 |