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Organization
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC
Active
Organization
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
11916 S OXFORD AVE STE 103, TULSA, OK 74137-7781
(918) 994-7645
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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