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Organization
TULSA PRECISION DENTAL
Active
Organization
TULSA PRECISION DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS VINSON (DENTIST)
(918) 492-1917
Entity
Organization
Contact information
Practice address
7104 S SHERIDAN RD STE 8, TULSA, OK 74133-2765
(918) 492-1917
Mailing address
7104 S SHERIDAN RD STE 8, TULSA, OK 74133-2765
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6062
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427212372
—
OK
Enumeration date
06/13/2012
Last updated
06/13/2012
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