Organization
CARDELYN DDS INC PC
Active
Other names
Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN COSTELLO DDS (OWNER/DENTIST)
(918) 895-8090
Entity
Organization
Contact information
Practice address
10342 E 21ST ST, TULSA, OK 74129-1606
(918) 895-8090
Mailing address
10342 E 21ST ST, TULSA, OK 74129-1606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5475
OK
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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