Individual
DR. STANLEY STUART GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5801 E 41ST ST, SUITE 500, TULSA, OK 74135-5619
(918) 628-0311
(918) 663-3642
Mailing address
5801 E 41ST ST, SUITE 500, TULSA, OK 74135-5619
(918) 628-0311
(918) 663-3642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3592
OK
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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