Organization
GREEN COUNTRY DENTURE CENTER
Active
Other names
Premier Dentures & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LARD DDS (PRESIDENT)
(918) 331-2221
Entity
Organization
Contact information
Practice address
1824 S.E . WASHINGTON BLVD., BARTLESVILLE, OK 74006
(918) 331-2221
(918) 336-1052
Mailing address
1824 S.E . WASHINGTON BLVD., PO BOX 3248, BARTLESVILLE, OK 74006
(918) 331-2221
(918) 336-1052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5431
OK
122300000X
Dentist
5779
OK
Other
Enumeration date
01/19/2007
Last updated
06/26/2012
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