Organization
BIXBY SPARTAN DENTAL PLLC
Active
Other names
Spartan Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILA JELSING DDS (PRESIDENT)
(918) 743-7444
Entity
Organization
Contact information
Practice address
5 W DAWES AVE, BIXBY, OK 74008-4422
(918) 366-3777
Mailing address
2106 S ATLANTA PL, TULSA, OK 74114-1709
(918) 743-7444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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