Individual
DR. TEIGHLOR DANIELLE JURICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 E ALBANY ST STE 101, BROKEN ARROW, OK 74012-8987
(918) 308-5566
Mailing address
10550 OLD MILITARY TRL, FORNEY, TX 75126-7650
(214) 675-3437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7577
OK
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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