Individual
DR. GAVIN HUMPHREY MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 W 71ST ST, TULSA, OK 74132-1825
(918) 262-8925
Mailing address
5503 S NORFOLK AVE, TULSA, OK 74105-6813
(918) 262-8925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7714
OK
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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