Individual
DR. CAYTLIN DAWN EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
710 W 71ST ST, TULSA, OK 74132-1825
(918) 262-8925
Mailing address
10357 S NATHAN ST, JENKS, OK 74037-1839
(918) 606-9189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7423
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957668867
UNITED HEALTHCARE
OK
Enumeration date
06/01/2021
Last updated
06/01/2021
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