Organization
GARRY E. ANDERSON, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY E ANDERSON D.M.D. (OWNER)
(918) 742-2096
Entity
Organization
Contact information
Practice address
4415 S HARVARD AVE STE 102, TULSA, OK 74135-2616
(918) 742-2096
Mailing address
4415 S HARVARD AVE STE 102, TULSA, OK 74135-2616
(918) 742-2096
(918) 749-2611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4681
OK
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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