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Organization

ORAGEN LAWTON ORAL SURGERY PC

Active
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Organization

ORAGEN LAWTON ORAL SURGERY PC

Active
Other names
Lawton Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
WHITNEY PAVICK (SR. OPERATIONS MANAGER)
(801) 857-7947
Entity
Organization

Contact information

Practice address
3617 W GORE BLVD, LAWTON, OK 73505-6373
(405) 691-0155
Mailing address
3617 W GORE BLVD, LAWTON, OK 73505-6373

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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