Organization
SHORTLINE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LUNDY RIGGS DDS (PRESIDENT)
(918) 384-0099
Entity
Organization
Contact information
Practice address
9908 E 21ST ST, TULSA, OK 74129-1620
(918) 384-0099
(918) 384-0033
Mailing address
9908 E 21ST ST, TULSA, OK 74129-1620
(918) 384-0099
(918) 384-0033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
P-35
OK
Other
Enumeration date
03/29/2007
Last updated
11/29/2007
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