Organization
BRETT B. DIETERLEN D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT B. DIETERLEN D.D.S.,P.C. (OWNER/DENTIST)
(918) 299-2400
Entity
Organization
Contact information
Practice address
3015 E 91ST ST, TULSA, OK 74137-3324
(918) 299-2400
Mailing address
3015 E 91ST ST, TULSA, OK 74137-3324
(918) 299-2400
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5167
OK
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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