Individual
CHANCE J LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
412 N HWY 271, ANTLERS, OK 74523
(580) 298-1100
Mailing address
PO BOX 308, ANTLERS, OK 74523
(580) 298-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5872
OK
Other
Enumeration date
01/08/2007
Last updated
01/18/2019
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