Individual
CORBYN L VANBRUNT DDS PC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
6565 S. YALE AVE., SUITE 1103, TULSA, OK 74136
(918) 481-4910
(918) 481-4917
Mailing address
6565 S. YALE AVE., SUITE 1103, TULSA, OK 74136
(918) 481-4910
(918) 481-4917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5445
OK
1223G0001X
General Practice Dentistry
5445
OK
Other
Enumeration date
07/24/2006
Last updated
06/16/2020
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