Organization
HERO DENTAL OF TULSA PC
Active
Other names
Adventure Dental of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BERRYHILL (CREDENTIALING SPECIALIST)
(719) 576-1850
Entity
Organization
Contact information
Practice address
4955 S PEORIA AVE, TULSA, OK 74105-0000
(719) 576-1850
(719) 576-1929
Mailing address
15 N NEVADA AVE, COLORADO SPRINGS, CO 80903-1708
(719) 576-1850
(719) 576-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OK
Other
Enumeration date
03/28/2012
Last updated
07/26/2012
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