Lakehaven Dental, Inc.

NPI 1215152608 - Dentist - 1223G0001X

NPI Details
NPI 1215152608
Enumeration Date 04/13/2007
Last Updated 11/03/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEFAN S STEFAN
Position PRESIDENT
Phone (918) 787-7900
Fax (918) 787-5871
Practice Location
200 E 3RD STREET
GROVE OK, 74344, US
Phone (918) 787-7900
Fax (918) 787-5871
Business Location
PO BOX 451897
GROVE OK, 74345-1897, US
Phone (918) 787-7900
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Lakehaven Dental, Inc. NPI is 1215152608, taxonomy code is 1223G0001X Lakehaven Dental, Inc. physically located at 200 E 3rd Street, Grove OK, 74344. NPI Number 1033115704 has the healthcare provider type.

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1215152608 NPI number is provided on an as is basis without warranty of any kind. 1215152608 is maintained by the National Plan & Provider Enumeration System. The contents of Lakehaven Dental, Inc. are for informational purposes only.