Individual
DR. TOM NEAL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6002 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1602
(405) 631-9100
Mailing address
10906 S WESTERN AVE, OKLAHOMA CITY, OK 73170-6207
(405) 691-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4054
OK
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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