Organization
TULSA DENTAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD TARR D.D.S. (PRESIDENT/OWNER)
(918) 446-0128
Entity
Organization
Contact information
Practice address
5676 W SKELLY DR, STE A, TULSA, OK 74107-9144
(918) 446-0128
Mailing address
5676 W SKELLY DR, STE A, TULSA, OK 74107-9144
(918) 446-0128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4076
OK
Other
Enumeration date
02/13/2008
Last updated
06/16/2008
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