Individual
THOMAS BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 S ELWOOD AVE, TULSA, OK 74119-4248
(614) 706-1351
Mailing address
714 N BIRMINGHAM PL, TULSA, OK 74110-5318
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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