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Individual

DR. JOSEPH OMER LAVALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
300 E HWY, HOLDENVILLE, OK 74848
(405) 379-2700
(405) 379-2703
Mailing address
300 E HWY, HOLDENVILLE, OK 74848
(405) 379-2700
(405) 379-2703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
19688
TX
122300000X
Dentist
Primary
5172
OK

Other

Enumeration date
08/17/2005
Last updated
07/09/2007
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