# 1ST FAMILY DENTAL OF TULSA

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

## Provider details

- **NPI number:** 1922410331
- **Authorized official:** MRS. VESNA BELKIC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (773) 340-8318

## Contact information

- **Practice address:** 2840 E 101ST ST, TULSA, OK 74137-5601
- **Practice address phone:** (918) 518-6305
- **Mailing address:** 4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
- **Mailing address phone:** (773) 340-8318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5990 | OK | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 06/09/2015