Individual
NANAY LAPORTE SHADID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-7744
Mailing address
17316 MAGNINO RD, SHAWNEE, OK 74801-4007
(405) 808-0192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4707
OK
Other
Enumeration date
08/01/2006
Last updated
07/22/2019
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