| NPI Details | |
|---|---|
| NPI | 1275773137 |
| Enumeration Date | 03/04/2009 |
| Last Updated | 03/04/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 9 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 | ========= |
| Remove 1275773137 NPI Number | |
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.
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