Individual
AYAN LOVE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
114 W MAIN ST, WILBURTON, OK 74578-4044
(918) 465-3535
(918) 465-3742
Mailing address
114 W MAIN ST, WILBURTON, OK 74578-4044
(918) 465-3535
(918) 465-3742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5809
OK
Other
Enumeration date
12/19/2006
Last updated
08/20/2007
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