Organization
DYER PALM LEAF DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA MOORE (HUMAN RESOURCES)
(402) 505-6843
Entity
Organization
Contact information
Practice address
4715 E 91ST ST STE 110, TULSA, OK 74137-2847
(833) 923-4468
Mailing address
4715 E 91ST ST STE 110, TULSA, OK 74137-2847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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