Individual
ECE AGIRGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 RC LUTTRELL DR STE 200, NORMAN, OK 73072-9702
(405) 364-4608
Mailing address
3560 RC LUTTRELL DR STE 200, NORMAN, OK 73072-9702
(405) 364-4608
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
265
OK
Other
Enumeration date
03/22/2022
Last updated
04/23/2025
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