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Organization
TULSA KIDS DENTAL PLLC
Active
Organization
TULSA KIDS DENTAL PLLC
Active
Other names
South Tulsa Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
10127 S YALE AVE, TULSA, OK 74137-6002
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
11/08/2023
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