Individual
DR. CHRISTIAN SHAUN MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3150 E 41ST ST STE 131, TULSA, OK 74105-3758
(918) 749-1639
(918) 749-0416
Mailing address
3150 E 41ST ST STE 131, TULSA, OK 74105-3758
(918) 749-1639
(918) 749-0416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6682
OK
Other
Enumeration date
08/11/2015
Last updated
09/24/2018
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