Organization
LIBERTY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNNE CAMERON D.D.S. (OWNER/DENTIST)
(580) 654-1008
Entity
Organization
Contact information
Practice address
6 N. BROADWAY, CARNEGIE, OK 73015
(580) 654-1008
(580) 654-2008
Mailing address
P.O. BOX 365, CARNEGIE, OK 73015
(580) 654-1008
(580) 654-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5940
OK
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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