Individual
LAURA YE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 DARLENE LN, FORT GIBSON, OK 74434-7823
(408) 693-6804
Mailing address
1497 DARLENE LN, FORT GIBSON, OK 74434-7823
(408) 693-6804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7507
OK
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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