Individual
DR. KASSIDY E LEGAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6707 NW OAK DALE DR, LAWTON, OK 73505-1261
(580) 678-3713
Mailing address
6707 NW OAK DALE DR, LAWTON, OK 73505-1261
(580) 678-3713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6683
OK
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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