Gilstrap Services LLC
NPI #1588400873 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1588400873
- Entity Type
- Organization
- Organization Name
- Gilstrap Services LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jul 5, 2024
- Last Updated
- Jul 5, 2024
Practice Location
- Address
- 4404 W HOUSTON ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4645
- Phone
- (918) 392-0575
Authorized Official
- Name
- MARK GILSTRAP, DMD
- Title
- OWNER
- Phone
- (928) 899-2403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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