# CARDELYN DDS INC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720514805
- **Authorized official:** MR. SEAN COSTELLO DDS (OWNER/DENTIST)
- **Authorized official phone:** (918) 895-8090

## Contact information

- **Practice address:** 10342 E 21ST ST, TULSA, OK 74129-1606
- **Practice address phone:** (918) 895-8090
- **Mailing address:** 10342 E 21ST ST, TULSA, OK 74129-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5475 | OK | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 05/10/2017