Organization
WRANY R. SOUTHARD, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SOUTHARD (OFFICE MANAGER)
(918) 294-1144
Entity
Organization
Contact information
Practice address
6333 S MEMORIAL DR, SUITE G, TULSA, OK 74133-1948
(918) 294-1144
(918) 294-0884
Mailing address
6333 S MEMORIAL DR, SUITE G, TULSA, OK 74133-1948
(918) 294-1144
(918) 294-0884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5455
OK
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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