Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
LCHC Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
6734 NW CACHE RD STE A, LAWTON, OK 73505-2702
(580) 357-4943
Mailing address
6734 NW CACHE RD STE A, LAWTON, OK 73505-2702
(580) 357-4943
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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