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Individual

LAURA B OUSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
11205 N MAY AVE, SUITE A, OKLAHOMA CITY, OK 73120-6329
(405) 755-4450
(405) 755-4481
Mailing address
11205 N MAY AVE, SUITE A, OKLAHOMA CITY, OK 73120-6329
(405) 755-4450
(405) 755-4481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5144
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200076450 A
OK
Enumeration date
08/02/2006
Last updated
07/08/2007
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