Organization
TULSA MODERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM G HANNA D.D.S. (DOCTOR OF DENTAL SURGERY)
(918) 591-3535
Entity
Organization
Contact information
Practice address
3345 S HARVARD AVE, SUITE 302, TULSA, OK 74135-1812
(918) 591-3535
Mailing address
3345 S HARVARD AVE, SUITE 302, TULSA, OK 74135-1812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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