Organization
EVANS FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY J CONNAUGHTON (OFFICE MANAGER)
(918) 665-2676
Entity
Organization
Contact information
Practice address
8149 E 31ST ST, STE D, TULSA, OK 74145-1724
(918) 665-2676
(918) 641-5743
Mailing address
8149 E 31ST ST, STE D, TULSA, OK 74145-1724
(918) 665-2676
(918) 641-5743
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3933
OK
Other
Enumeration date
06/12/2008
Last updated
02/16/2011
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