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Tulsa Modern Dental

NPI #1154876258 in Tulsa, Oklahoma

Provider Information

NPI Number
1154876258
Entity Type
Organization
Organization Name
Tulsa Modern Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 18, 2016
Last Updated
Aug 18, 2016

Practice Location

Address
3345 S HARVARD AVE
Address 2
SUITE 302
City
Tulsa
State
Oklahoma
ZIP Code
74135-1812
Phone
(918) 591-3535

Authorized Official

Name
MARIAM G HANNA, D.D.S.
Title
DOCTOR OF DENTAL SURGERY
Phone
(918) 591-3535

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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