Individual
BRANDON HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6911 S 66TH EAST AVE STE 300, TULSA, OK 74133-1748
(918) 477-7677
Mailing address
6911 S 66TH EAST AVE STE 300, TULSA, OK 74133-1748
(918) 477-7677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7624
OK
Other
Enumeration date
07/14/2021
Last updated
11/18/2024
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