The Dental Lodge

NPI 1275773137 - Dentist - 1223G0001X

NPI Details
NPI 1275773137
Enumeration Date 03/04/2009
Last Updated 03/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GARY D GARY
Position DENTIST
Phone (405) 872-9597
Fax (405) 872-5271
Practice Location
305-A MAIN STREET
NOBLE OK, 73068-0069, US
Phone (405) 872-9597
Fax (405) 872-5271
Business Location
P.O. BOX 69
NOBLE OK, 73068-0069, US
Phone (405) 972-9597
Fax (405) 872-5271
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number =========
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According to our database, The Dental Lodge NPI is 1275773137, taxonomy code is 1223G0001X and license number is =========, license state is located at Oklahoma. The Dental Lodge physically located at 305-a Main Street, Noble OK, 73068-0069. NPI Number 1033115704 has the healthcare provider type.

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1275773137 NPI number is provided on an as is basis without warranty of any kind. 1275773137 is maintained by the National Plan & Provider Enumeration System. The contents of The Dental Lodge are for informational purposes only.