Organization
MICHAEL P. KEENAN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. KEENAN D.D.S. (OWNER/DENTIST)
(918) 481-4949
Entity
Organization
Contact information
Practice address
6565 S YALE AVE, SUITE 1105, TULSA, OK 74136-8327
(918) 481-4949
(918) 481-4995
Mailing address
6565 S. YALE AVE, SUITE 1105, TULSA, OK 74136-8378
(918) 481-4949
(918) 481-4995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3740
OK
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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