Organization
TED L MARSHALL DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED LEE MARSHALL DMD (OWNER/PRESIDENT)
(918) 492-6200
Entity
Organization
Contact information
Practice address
8830 S YALE AVE, TULSA, OK 74137-3551
(918) 492-6200
Mailing address
8830 S YALE AVE, TULSA, OK 74137-3551
(918) 492-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3855
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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