Organization
SMILE STOP DENTAL OF SOUTWEST TULSA
Active
Other names
Dr. Tarr's Smile Stop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LARD D.D.S. (OWNER/DENTIST)
(918) 336-1030
Entity
Organization
Contact information
Practice address
5676 W SKELLY DR STE A, TULSA, OK 74107-9134
(918) 446-0128
Mailing address
5676 W SKELLY DR STE A, TULSA, OK 74107-9134
(918) 446-0128
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5779
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5779
DENTAL LICENSE
OK
Enumeration date
09/07/2016
Last updated
09/07/2016
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