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Organization

BUCCAL UP DENTAL TULSA PLLC

Active
Other names
Dentistry for You Tulsa
Organization subpart
No

Provider details

NPI number
Authorized official
PAM BROWERS (CONTROLLER)
(918) 960-3070
Entity
Organization

Contact information

Practice address
4606 E 67TH ST STE 312, TULSA, OK 74136-4950
(918) 494-4445
Mailing address
300 RIVERWALK TER STE 220, JENKS, OK 74037-5617
(918) 960-3070

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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