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Organization

OWASSO FAMILY DENISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENG L LIM DDS (PRESIDENT)
(918) 274-3779
Entity
Organization

Contact information

Practice address
8801 N 145TH EAST AVE, OWASSO, OK 74055-8464
(918) 274-3779
(918) 274-4246
Mailing address
8801 N 145TH EAST AVE, OWASSO, OK 74055-8464
(918) 274-3779
(918) 274-4246

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5191
OK

Other

Enumeration date
08/22/2005
Last updated
08/22/2020
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