Organization
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
11916 S OXFORD AVE STE 103, TULSA, OK 74137-7781
(918) 994-7645
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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