| Mydentist-lawton | |
|
2111 Nw Cache Rd Lawton OK 73505-5213 | |
| (580) 699-8802 | |
| Not Available |
| Full Name | Mydentist-lawton |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2111 Nw Cache Rd, Lawton, Oklahoma |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-lawton 2111 Nw Cache Rd Lawton OK 73505-5213 Ph: () - | Mydentist-lawton 2111 Nw Cache Rd Lawton OK 73505-5213 Ph: (580) 699-8802 |
| NPI Number | 1821418831 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821418831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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