Organization
GARY FISHER, D.D.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WALLACE FISHER D.D.S. (OWNER)
(918) 744-1555
Entity
Organization
Contact information
Practice address
1203 E 33RD ST, SUITE 100, TULSA, OK 74105-2040
(918) 744-1555
(918) 744-1545
Mailing address
1203 E 33RD ST STE 100, TULSA, OK 74105-2013
(918) 744-1555
(918) 744-1545
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4229
OK
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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