# PARNAM MOHANNA DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003072927
- **Authorized official:** DR. PARNAM MOHANNA DDS (DENTIST)
- **Authorized official phone:** (918) 743-2347

## Contact information

- **Practice address:** 5505 S PEORIA AVE, TULSA, OK 74105-6821
- **Practice address phone:** (918) 743-2347
- **Mailing address:** 5505 S PEORIA AVE, TULSA, OK 74105-6821
- **Mailing address phone:** (918) 743-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6032 | OK | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 07/30/2008