| Lawton Kids Dentistry And Braces | |
|
4417 W Gore Blvd Ste 11 Lawton OK 73505-5978 | |
| (580) 248-8418 | |
| Not Available |
| Full Name | Lawton Kids Dentistry And Braces |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4417 W Gore Blvd Ste 11, Lawton, Oklahoma |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawton Kids Dentistry And Braces Po Box 734753 Dallas TX 75373-4753 Ph: (580) 248-7365 | Lawton Kids Dentistry And Braces 4417 W Gore Blvd Ste 11 Lawton OK 73505-5978 Ph: (580) 248-8418 |
| NPI Number | 1275194623 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275194623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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