Individual
KRUTI BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
(918) 994-0028
Mailing address
2151 W WRANGLER BLVD, SEMINOLE, OK 74868-2045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8188
OK
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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