Individual
DR. LILY ANNA HARTSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-6056
Mailing address
331 NE 1ST ST APT 1-101, OKLAHOMA CITY, OK 73104-4060
(412) 526-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7785
OK
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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