NPI Details | |
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NPI | 1275773137 |
Enumeration Date | 03/04/2009 |
Last Updated | 03/04/2009 |
Entity Type | Healthcare Provider |
Active | Over 9 years ago |
Authorized Information | |
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Name | GARY D GARY |
Position | DENTIST |
Phone | (405) 872-9597 |
Fax | (405) 872-5271 |
Practice Location | |
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305-A MAIN STREET NOBLE OK, 73068-0069, US |
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Phone | (405) 872-9597 |
Fax | (405) 872-5271 |
Business Location | |
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P.O. BOX 69 NOBLE OK, 73068-0069, US |
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Phone | (405) 972-9597 |
Fax | (405) 872-5271 |
Toxanomy | |
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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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