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SWEET TOOTH PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIANA OSBOURNE DDS (OWNER/ CEO)
(845) 527-8184
Entity
Organization

Contact information

Practice address
2725 S MUSTANG RD STE 100, YUKON, OK 73099-4769
(405) 254-7372
Mailing address
2725 S MUSTANG RD STE 100, YUKON, OK 73099-4769
(405) 254-7372

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/06/2024
Last updated
01/25/2026
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