Individual
TALA AL AWWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1829 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-6500
Mailing address
213 W CIVIC CENTER DR APT 328, SANDY, UT 84070-1235
(805) 453-7664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8235
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
05/07/2026
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