Individual
DR. KENNETH DAVID TRICINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6128 E 61ST ST, TULSA, OK 74136-2117
(918) 496-8268
(918) 496-1168
Mailing address
6128 E 61ST ST, TULSA, OK 74136-2117
(918) 496-8268
(918) 496-1168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4144
OK
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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