Individual
DR. ROGER SATORU NISHIMURA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1008 SW C AVE, SUITE 102, LAWTON, OK 73501-4300
(580) 248-6055
(580) 248-6056
Mailing address
311 NW RIDGEVIEW WAY, LAWTON, OK 73505-6131
(580) 353-4372
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
ENDODONTICS # 27
OK
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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