Organization
R L LAKE DDS INC
Active
Other names
Talihina Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON L LAKE JR. DDS (PRESIDENT R L LAKE DDS INC)
(918) 567-3961
Entity
Organization
Contact information
Practice address
200 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-3961
(918) 567-3424
Mailing address
200 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-3961
(918) 567-3424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4059
OK
Other
Enumeration date
08/16/2006
Last updated
09/19/2007
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