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Organization

PROSTHETIC DENTISTRY OF TULSA PC

Active
Other names
Paul W Wilkes DDS MS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL WAYNE WILKES DDS MS (OWNER PRESIDENT)
(918) 502-6675
Entity
Organization

Contact information

Practice address
6565 S YALE AVE, STE 505, TULSA, OK 74136-8306
(918) 502-6675
(918) 502-6677
Mailing address
6565 S YALE AVE, STE 505, TULSA, OK 74136-8306
(918) 502-6675
(918) 502-6677

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
378925
OK

Other

Enumeration date
05/03/2007
Last updated
03/19/2013
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