Organization
ENDODONTIC SPECIALISTS OF NORTHEAST OK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMELLA GLENN BS (OFFICE MANAGER)
(918) 524-3366
Entity
Organization
Contact information
Practice address
5555 E 71ST ST, STE 9210, TULSA, OK 74136-6542
(918) 524-3366
(918) 524-3399
Mailing address
5555 E 71ST ST, STE 9210, TULSA, OK 74136-6542
(918) 524-3366
(918) 524-3399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5644
OK
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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