Organization
LAWTON DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA V BRASHER DDS (SOLE MBR)
(405) 474-6362
Entity
Organization
Contact information
Practice address
916 SW 38TH ST STE B, LAWTON, OK 73505-7005
(580) 355-3551
Mailing address
916 SW 38TH ST STE B, LAWTON, OK 73505-7005
(580) 355-3551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6256
OK
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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