Organization
TULSA FAMILY DENTAL
Active
Other names
Matt E Warlick DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW E WARLICK DDS (OWNER PRACTITIONER)
(918) 459-9090
Entity
Organization
Contact information
Practice address
6846 S CANTON AVE, STE 135, TULSA, OK 74136-3434
(918) 459-9090
(918) 459-9091
Mailing address
6846 S CANTON AVE, STE 135, TULSA, OK 74136-3434
(918) 459-9090
(918) 459-9091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5343
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091800A
—
OK
Enumeration date
05/01/2008
Last updated
05/01/2008
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