Organization
STANLEY S GROOM DDS AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY S GROOM D.D.S. (PRESIDENT)
(918) 628-0311
Entity
Organization
Contact information
Practice address
5801 E 41ST ST, SUITE 500, TULSA, OK 74135-5619
(918) 628-0311
(918) 663-3642
Mailing address
5801 E 41ST ST, SUITE 500, TULSA, OK 74135-5619
(918) 628-0311
(918) 663-3642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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