Organization
TULSA RESTORATIVE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
9445 S MINGO RD, TULSA, OK 74133-5826
(918) 286-7776
Mailing address
2109 COMMERCE ST # 200, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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