Organization · Type 2 NPI
Tulsa Prosth PLLC
Dental Clinic/Center · Tulsa, OK
NPI number
1417529801
Active
Practice location
6565 S Yale Ave Ste 1012
Tulsa, OK 74136-8311
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1417529801
Tulsa Prosth PLLC's National Provider Identifier is 1417529801, issued on Jul 14, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 14, 2021.