Individual
DR. PHIL J TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 N HINCKLEY ST, HOLDENVILLE, OK 74848-5449
(404) 379-6695
(405) 379-6923
Mailing address
201 N HINCKLEY ST, HOLDENVILLE, OK 74848-5449
(404) 379-6695
(405) 379-6923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4007
OK
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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