Organization
SMILE STOP DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDON SWISHER D.D.S. (MEMBER)
(918) 336-1262
Entity
Organization
Contact information
Practice address
9063 E 31ST ST, TULSA, OK 74145-1703
(918) 336-1262
Mailing address
9063 E 31ST ST, TULSA, OK 74145-1703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6042
OK
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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