Organization
T-TOWN SMILES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORBYN VANBRUNT DDS (OWNER)
(918) 481-4922
Entity
Organization
Contact information
Practice address
6565 S YALE AVE # 1107, TULSA, OK 74136-8327
(918) 481-4922
Mailing address
6565 S YALE AVE # 1107, TULSA, OK 74136-8327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
08/06/2020
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