Individual
DALE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3101 S. SHERIDAN RD, MY DENTIST, TULSA, OK 74145-1102
(918) 551-7216
(918) 551-7586
Mailing address
3101 S. SHERIDAN RD, MY DENTIST, TULSA, OK 74145-1102
(918) 551-7216
(918) 551-7586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5903
OK
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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