Individual
DR. MICHAEL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 606-0213
Mailing address
1328 S SANDUSKY AVE, TULSA, OK 74112-6132
(918) 606-0213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6746
OK
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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