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Organization

LAWTON ADULT DENTISTRY AND BRACES PLLC

Active
Other names
Lawton Adult Dentistry and Braces
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (CREDENTIALING DIRECTOR)
(972) 869-3789
Entity
Organization

Contact information

Practice address
4417 W GORE BLVD STE 10, LAWTON, OK 73505-5978
(580) 248-7333
Mailing address
4417 W GORE BLVD STE 10, LAWTON, OK 73505-5978
(580) 248-7333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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