Brant Rouse DDS Plc

NPI #1003131459 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1003131459
Entity Type: Organization
Organization Name: Brant Rouse DDS Plc
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2010
Last Updated: Aug 7, 2020

Practice Location

Address: 559 MEADOW CREEK DRIVE
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-1088
Phone: (918) 456-0977

Authorized Official

Name: DR. BRANT PHILIP ROUSE, DDS
Title: PRESIDENT
Phone: (918) 456-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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