Individual
DR. DALE ROBERT MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5404 S MEMORIAL DR, SUITE A, TULSA, OK 74145-9042
(918) 663-5215
(918) 663-7030
Mailing address
5404 SOUTH MEMORIAL DRIVE, SUITE A, TULSA, OK 74145
(918) 663-5215
(918) 663-7030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4879
OK
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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