Individual
TARA RENAE LITTLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1316 E 41ST ST, TULSA, OK 74105-4032
(918) 743-1777
Mailing address
1316 E 41ST ST, TULSA, OK 74105-4032
(918) 743-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7345
OK
122300000X
Dentist
T-7345
OK
Other
Enumeration date
06/02/2020
Last updated
08/24/2022
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