Organization
SOUTHWEST ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A. BUSCHMAN DDS (OWNER)
(580) 355-6000
Entity
Organization
Contact information
Practice address
916 SW 38TH ST STE A, LAWTON, OK 73505-7005
(580) 355-6000
(580) 355-7060
Mailing address
916 SW 38TH ST STE A, LAWTON, OK 73505-7005
(580) 355-6000
(580) 355-7060
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5272
OK
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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