Individual
MS. LORI SUZETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5701 NW 23RD ST, OKLAHOMA CITY, OK 73127-2231
(405) 943-0377
(405) 602-1746
Mailing address
5701 NW 23RD ST, OKLAHOMA CITY, OK 73127-2231
(405) 943-0377
(405) 602-1746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5411
OK
Other
Enumeration date
08/28/2006
Last updated
04/02/2014
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