Organization
DENTAL DEPOT OF I-44 & GARNETT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLON ZISSA (DIRECTOR OF PROVIDER RELATIONS)
(405) 945-8941
Entity
Organization
Contact information
Practice address
1302 S GARNETT RD, TULSA, OK 74128-1825
(539) 476-5123
(539) 222-2516
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(539) 476-5123
(539) 222-2516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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