Individual
GRANGER BAERTLETT COCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2928 NW CACHE RD, LAWTON, OK 73505-3827
(580) 355-8300
Mailing address
723 E 8TH AVE, SALT LAKE CITY, UT 84103-3606
(801) 834-0176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8084
OK
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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