# ROMAN M LOBODIAK DDS PC

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

## Provider details

- **NPI number:** 1629230685
- **Authorized official:** DR. ROMAN M LOBODIAK DDS (OWNER)
- **Authorized official phone:** (918) 743-1558

## Contact information

- **Practice address:** 3232 E 31ST ST, TULSA, OK 74105-2442
- **Practice address phone:** (918) 743-1558
- **Practice address fax:** (918) 742-2543
- **Mailing address:** 3232 E 31ST ST, TULSA, OK 74105-2442
- **Mailing address phone:** (918) 743-1558
- **Mailing address fax:** (918) 742-2543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4367 | OK | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/30/2008