Organization
NICOLE A. NELLIS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE NELLIS DDS (OWNER)
(918) 728-1449
Entity
Organization
Contact information
Practice address
9314 S DELAWARE AVE, TULSA, OK 74137-5600
(918) 518-6305
Mailing address
9314 S DELAWARE AVE, TULSA, OK 74137-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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