Individual
DR. DALTON CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10010 E 81ST ST, TULSA, OK 74133-4556
(918) 250-2020
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 931-7810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3254
OK
Other
Enumeration date
03/25/2024
Last updated
07/23/2024
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