Individual
DR. MARK ALAN ANDREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10125 S SHERIDAN RD, SUITE E, TULSA, OK 74133-6737
(918) 296-3006
(918) 296-3070
Mailing address
10125 S SHERIDAN RD, SUITE E, TULSA, OK 74133-6737
(918) 296-3006
(918) 296-3070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5099
OK
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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