Individual
MS. NATASHA KAYE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(888) 397-8387
Mailing address
PO BOX 626, SKIATOOK, OK 74070-0626
(918) 508-5372
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA15460
OK
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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