Full Name | Msdg Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 3920 E 91st St, Tulsa, Oklahoma |
Authorized Official Name and Position | Joshua V Brasher (OWNER/ DENTIST) |
Authorized Official Contact | 4052502255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Msdg Pllc 3920 E 91st St Tulsa OK 74137-3602 Ph: (918) 496-2481 | Msdg Pllc 3920 E 91st St Tulsa OK 74137-3602 Ph: (918) 496-2481 |
NPI Number | 1063125375 |
---|---|
Provider Enumeration Date | 01/02/2023 |
Last Update Date | 01/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063125375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
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