Organization
GREEN COUNTRY DENTAL ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LARD D.D.S. (PRESIDENT)
(918) 336-1030
Entity
Organization
Contact information
Practice address
1820 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-6734
(918) 336-1030
(918) 336-1052
Mailing address
1820 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-6734
(918) 336-1030
(918) 336-1052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5431
OK
122300000X
Dentist
5779
OK
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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