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Organization

PAHLEDENT LLC

Active
Other names
Ideal Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
TYGRAN PAHLEVANYAN (DENTIST)
(315) 256-7355
Entity
Organization

Contact information

Practice address
8126 S MINGO RD STE 105, TULSA, OK 74133-4578
(918) 663-5538
(918) 627-9985
Mailing address
8126 S MINGO RD STE 105, TULSA, OK 74133-4578
(918) 663-5538
(918) 627-9985

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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