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Organization
STEPHEN O. GLENN, DDS
Active
Organization
STEPHEN O. GLENN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN O GLENN DDS (OWNER/DENTIST)
(918) 748-8484
Entity
Organization
Contact information
Practice address
5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
(918) 748-8484
(918) 744-0761
Mailing address
5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
(918) 748-8484
(918) 744-0761
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3665
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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