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Organization

DENTAL PROFESSIONALS OF OKLAHOMA, PC

Active
Parent organization
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Other names
Glisten Dental Care of Tulsa
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Authorized official
HEARTLAND DENTAL (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
9840 E 81ST ST STE 101, TULSA, OK 74133-4585
(918) 254-8686
Mailing address
9840 E 81ST ST STE 101, TULSA, OK 74133-4585
(918) 254-8686

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/03/2017
Last updated
03/30/2023
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