Organization
ORAL AND MAXILLOFACIAL SURGERY AT TULSA SURGICAL ARTS
Active
Parent organization
EASTERN SURGICAL ASSOCIATES AND CONSULTANTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN SURGICAL ASSOCIATES AND CONSULTANTS
Authorized official
HUSAIN ALI KHAN M.D. (OWNER)
(404) 805-2821
Entity
Organization
Contact information
Practice address
7322 E 91ST ST, TULSA, OK 74133-6016
(918) 392-7900
(918) 392-0990
Mailing address
7322 E 91ST ST, TULSA, OK 74133-6016
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
152
OK
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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