Dental Lodge At Brookhave

NPI 1164835617 - Dentist - 1223G0001X

NPI Details
NPI 1164835617
Enumeration Date 06/03/2014
Last Updated 06/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GARY D GARY
Position OWNER
Phone (405) 872-9597
Fax
Practice Location
3700 W ROBINSON ST
SUITE 102
NORMAN OK, 73072-3659, US
Phone (405) 872-9597
Fax
Business Location
PO BOX 69
NOBLE OK, 73068-0069, US
Phone (405) 872-9597
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5955
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According to our database, Dental Lodge At Brookhave NPI is 1164835617, taxonomy code is 1223G0001X and license number is 5955, license state is located at Oklahoma. Dental Lodge At Brookhave physically located at 3700 W Robinson St, Norman OK, 73072-3659. NPI Number 1033115704 has the healthcare provider type.

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1164835617 NPI number is provided on an as is basis without warranty of any kind. 1164835617 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Lodge At Brookhave are for informational purposes only.