Organization
CHILDREN'S DENTAL HEALTH CENTER, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL KENT GRAHAM D.D.S. (OWNER)
(918) 249-0249
Entity
Organization
Contact information
Practice address
9006 E 62ND ST, SUITE A, TULSA, OK 74133-6371
(918) 249-0249
(918) 249-1055
Mailing address
9006 E 62ND ST, SUITE A, TULSA, OK 74133-6371
(918) 249-0249
(918) 249-1055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3842
OK
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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