Individual
AUSTIN TYLER TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2036 S MILLER LN STE B, CATOOSA, OK 74015-1539
(918) 937-7660
Mailing address
1217 N 147TH EAST AVE, TULSA, OK 74116-2602
(918) 237-1917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7919
OK
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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