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Organization

OKLAHOMA WISDOM TEETH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LLOYD A HUDSON DDS MD (OWNER)
(918) 491-9996
Entity
Organization

Contact information

Practice address
7316 E 91ST ST, TULSA, OK 74133-6016
(918) 491-9996
(918) 491-6999
Mailing address
7316 E 91ST ST, TULSA, OK 74133-6016
(918) 491-9996
(918) 491-6999

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5352
OK

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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