Individual
DR. SCOTT DOUGLAS STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5510 E 41ST ST STE C, TULSA, OK 74135-6009
(918) 347-6092
(918) 828-7364
Mailing address
10628 E 74TH ST, TULSA, OK 74133-2540
(918) 671-7345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6916
OK
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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