Kenneth David Tricinella DDS

NPI 1083661227 - Dentist - 1223G0001X

NPI Details
NPI 1083661227
Gender Male
Enumeration Date 05/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6128 E 61ST ST
TULSA OK, 74136-2117, US
Phone (918) 496-8268
Fax (918) 496-1168
Business Location
6128 E 61ST ST
TULSA OK, 74136-2117, US
Phone (918) 496-8268
Fax (918) 496-1168
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 4144
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According to our database, Dr. Kenneth David Tricinella DDS NPI is 1083661227, taxonomy code is 1223G0001X and license number is 4144, license state is located at Oklahoma. Kenneth David Tricinella DDS physically located at 6128 E 61st St, Tulsa OK, 74136-2117. NPI Number Kenneth David Tricinella DDS has the Individual type.

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1083661227 NPI number is provided on an as is basis without warranty of any kind. 1083661227 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth David Tricinella DDS are for informational purposes only.