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Organization
LAWTON FAMILY DENTAL LLC
Active
Organization
LAWTON FAMILY DENTAL LLC
Active
Other names
Bridges Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
2928 NW CACHE RD STE 1, LAWTON, OK 73505-3827
(580) 355-8300
Mailing address
5700 SE 89TH ST, OKLAHOMA CITY, OK 73135-6017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/05/2024
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