Individual
DR. BRETT BUCHANAN DIETERLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,B.S.
Contact information
Practice address
3015 E 91ST ST, TULSA, OK 74137-3324
(918) 299-2400
(918) 299-0135
Mailing address
3523 E 107TH PL, TULSA, OK 74137-6602
(918) 299-3523
(918) 299-7527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5167
OK
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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