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Organization
LUSK & RIDDEL FAMILY DENTISTRY PLLC
Active
Organization
LUSK & RIDDEL FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROSS RIDDEL DDS (DENTIST/ CO-OWNER)
(918) 329-9682
Entity
Organization
Contact information
Practice address
9815 E 51ST ST, TULSA, OK 74146-5704
(918) 664-9995
Mailing address
9815 E 51ST ST, TULSA, OK 74146-5704
(918) 664-9995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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