Organization
AARON S HARMAN DDS PC INC DBA LAKESIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SHAY HARMAN DDS (DENTIST PRESIDENT)
(918) 485-3371
Entity
Organization
Contact information
Practice address
302 S HAYES, WAGONER, OK 74467
(918) 485-3371
(918) 485-9175
Mailing address
302 S HAYES, WAGONER, OK 74467
(918) 485-3371
(918) 485-9175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001150A
—
OK
Enumeration date
05/07/2008
Last updated
05/07/2008
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