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Individual

TODD A GENTLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1100 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 251-8141
Mailing address
1100 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 251-8141

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5666
OK

Other

Enumeration date
07/26/2006
Last updated
02/02/2022
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