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Organization

BUCCAL UP DENTAL HARVARD PLLC

Active
Other names
Hugh McDougall DDS
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNA MICHELLE JORDAN (DIRECTOR OF CLINICAL OPERATIONS)
(918) 899-9468
Entity
Organization

Contact information

Practice address
4433 S HARVARD AVE, TULSA, OK 74135-2604
(918) 742-8775
Mailing address
5314 S YALE AVE STE 400, TULSA, OK 74135-6271
(918) 960-3070

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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