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Organization

KENNETH GARNER, DDS, INC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH GARNER D.D.S. (PRESIDENT/DENTIST)
(918) 742-1480
Entity
Organization

Contact information

Practice address
3150 E 41ST ST, SUITE #100, TULSA, OK 74105-3717
(918) 742-1480
(918) 742-1512
Mailing address
3150 E 41ST ST, SUITE #100, TULSA, OK 74105-3717
(918) 742-1480
(918) 742-1512

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5632
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200002490 A
OK
05
200002490 B
OK
Enumeration date
12/06/2007
Last updated
12/06/2007
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