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Organization

SAFARI SMILES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON M LINDBLOM D.D.S. (OWNER)
(918) 331-0016
Entity
Organization

Contact information

Practice address
2359 NOWATA PL, BARTLESVILLE, OK 74006-4745
(918) 331-0016
Mailing address
2359 NOWATA PL, BARTLESVILLE, OK 74006-4745
(918) 331-0016

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6092
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200259000A
OK
Enumeration date
06/16/2011
Last updated
10/18/2022
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