Oklahoma Smiles Youth Dentistry, Pllc
NPI #1962451104 in Tulsa, Oklahoma
Provider Information
- NPI Number
- 1962451104
- Entity Type
- Organization
- Organization Name
- Oklahoma Smiles Youth Dentistry, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 7, 2006
- Last Updated
- Jul 9, 2014
Practice Location
Authorized Official
- Name
- MRS. JENELL STUMP
- Title
- MANAGER, LICENSING & CREDENTIALING
- Phone
- (615) 750-0343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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