Organization
TERRY L VANDALE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L VANDALE DDS (DENTIST)
(918) 481-4970
Entity
Organization
Contact information
Practice address
6565 S YALE #1106, TULSA, OK 74136-8378
(918) 481-4970
(918) 494-4468
Mailing address
6565 S YALE #1106, TULSA, OK 74136-8378
(918) 481-4970
(918) 494-4468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3713
OK
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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