Organization
GILSTRAP SERVICES LLC
Active
Other names
Floss Boss Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GILSTRAP DMD (OWNER)
(928) 899-2403
Entity
Organization
Contact information
Practice address
4404 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 392-0575
Mailing address
4404 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 392-0575
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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