Organization
LAKEHAVEN DENTAL
Active
Parent organization
LAKEHAVEN DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEHAVEN DENTAL
Authorized official
STEFAN HACKER (PRESIDENT)
(918) 787-7900
Entity
Organization
Contact information
Practice address
758 HWY 28, LANGLEY, OK 74350-0339
(918) 782-9744
Mailing address
PO BOX 339, LANGLEY, OK 74350-0339
(918) 782-9744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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