Hero Dental of Oklahoma PC

NPI #1053875690 in Tulsa, Oklahoma

Provider Information

NPI Number
1053875690
Entity Type
Organization
Organization Name
Hero Dental of Oklahoma PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 28, 2019
Last Updated
Jan 28, 2019

Practice Location

Address
7715 E 91ST ST STE A
City
Tulsa
ZIP Code
74133-6060
Phone
(918) 872-7009

Authorized Official

Name
CHARLOTTE SOUDER
Title
CREDENTIALING MANAGER
Phone
(719) 649-0305

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - General PracticeGeneral Practice

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