Jarrod Don Lack D.D.S.

NPI 1669793022 - Dentist - 1223G0001X

NPI Details
NPI 1669793022
Gender Male
Enumeration Date 06/18/2010
Last Updated 06/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1710 W WILLOW RD
ENID OK, 73703-2438, US
Phone (580) 234-6663
Fax
Business Location
1710 W WILLOW RD
ENID OK, 73703-2438, US
Phone (580) 234-6663
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 6916
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According to our database, Dr. Jarrod Don Lack D.D.S. NPI is 1669793022, taxonomy code is 1223G0001X and license number is 6916, license state is located at Oklahoma. Jarrod Don Lack D.D.S. physically located at 1710 W Willow Rd, Enid OK, 73703-2438. NPI Number Jarrod Don Lack D.D.S. has the Individual type.

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1669793022 NPI number is provided on an as is basis without warranty of any kind. 1669793022 is maintained by the National Plan & Provider Enumeration System. The contents of Jarrod Don Lack D.D.S. are for informational purposes only.