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Individual

DR. GINA LAVELLA STOLZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3150 E 41ST ST, SUITE 131, TULSA, OK 74105-3717
(918) 749-1639
(918) 749-0416
Mailing address
8244 S GARY AVE, TULSA, OK 74137-1334
(918) 492-4511
(918) 749-0416

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5130
OK

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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