Organization
TULSA COSMETIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME Y CHA (PRESIDENT)
(918) 496-1919
Entity
Organization
Contact information
Practice address
9445 S MINGO RD, TULSA, OK 74133-5792
(918) 496-1919
Mailing address
9445 S MINGO RD, TULSA, OK 74133-5792
(918) 496-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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