Individual
LIONEL EVERETT BAIR II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 FAIRVIEW AVE, SUITE # 6, PONCA CITY, OK 74601-1920
(580) 765-2589
(580) 762-2199
Mailing address
400 FAIRVIEW AVE, SUITE # 6, PONCA CITY, OK 74601-1920
(580) 765-2589
(580) 762-2199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4012
OK
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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