Individual
DENNY W SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6565 S YALE AVE STE 712, TULSA, OK 74136-8308
(948) 481-6622
(918) 492-0568
Mailing address
6565 S YALE AVE STE 712, TULSA, OK 74136-8308
(948) 481-6622
(918) 492-0568
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4269
OK
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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