Individual
REX SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5021 S FULTON AVE, TULSA, OK 74135-6968
(918) 628-0834
(918) 628-0838
Mailing address
5021 S FULTON AVE, TULSA, OK 74135-6968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3197
OK
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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