Organization
KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOOMIN HONG D.D.S. (CEO)
(720) 532-3333
Entity
Organization
Contact information
Practice address
10346 E 21ST ST, TULSA, OK 74129-1606
(720) 532-3333
Mailing address
10346 E 21ST ST, TULSA, OK 74129-1606
(720) 532-3333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6006
OK
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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