| Children's Dental Health Center, P.l.c. | |
|
9006 E 62nd St Suite A Tulsa OK 74133-6371 | |
| (918) 249-0249 | |
| (918) 249-1055 |
| Full Name | Children's Dental Health Center, P.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9006 E 62nd St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Randall Kent Graham (OWNER) |
| Authorized Official Contact | 9182490249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Health Center, P.l.c. 9006 E 62nd St Suite A Tulsa OK 74133-6371 Ph: (918) 249-0249 | Children's Dental Health Center, P.l.c. 9006 E 62nd St Suite A Tulsa OK 74133-6371 Ph: (918) 249-0249 |
| NPI Number | 1346465341 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346465341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3842 (Oklahoma) | Primary |
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