Utica Family Dentistry Pllc

NPI #1114538063 in Tulsa, Oklahoma

Provider Information

NPI Number
1114538063
Entity Type
Organization
Organization Name
Utica Family Dentistry Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 13, 2020
Last Updated
Aug 13, 2020

Practice Location

Address
1720 S UTICA AVE
City
Tulsa
ZIP Code
74104-5318
Phone
(918) 712-0000

Authorized Official

Name
FAITH GASKINS
Title
DIRECTOR OF CREDENTIALING
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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