Taldg Pllc
NPI #1912668070 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1912668070
- Entity Type
- Organization
- Organization Name
- Taldg Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 31, 2021
- Last Updated
- Jan 22, 2024
Practice Location
- Address
- 801 S LEE ST STE A
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434-8710
- Phone
- (918) 478-4433
Authorized Official
- Name
- BRANDI WILLIAMS
- Title
- VP OF GROWTH
- Phone
- (405) 250-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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