Individual
DR. SPENCER MASON FRIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3101 S SHERIDAN RD, TULSA, OK 74145-1102
(918) 280-8114
Mailing address
3101 S SHERIDAN RD, TULSA, OK 74145-1102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200419920(A)
—
OK
Enumeration date
03/02/2012
Last updated
09/27/2013
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