Organization
LAKEPOINTE DENTAL CLINIC OF HARRAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY P CHEATWOOD (OFFICE MANAGER)
(405) 445-6999
Entity
Organization
Contact information
Practice address
20926 SE 29TH ST., A, HARRAH, OK 73045
(405) 445-6999
Mailing address
20926 SE 29TH ST., A, HARRAH, OK 73045
(405) 445-6999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
05/05/2015
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