Individual
DR. RAY LAVERDIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4570
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-4595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5668
OK
Other
Enumeration date
05/28/2006
Last updated
05/18/2015
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