Organization
THE DENTAL LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D NABORS JR. (DENTIST)
(405) 872-9597
Entity
Organization
Contact information
Practice address
305-A MAIN STREET, NOBLE, OK 73068-0069
(405) 872-9597
(405) 872-5271
Mailing address
P.O. BOX 69, NOBLE, OK 73068-0069
(405) 972-9597
(405) 872-5271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OK
Other
Enumeration date
03/04/2009
Last updated
07/21/2022
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