Organization
ORAGEN LAWTON ORAL SURGERY PC
Active
Other names
Lawton Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY PAVICK (SR. OPERATIONS MANAGER)
(801) 857-7947
Entity
Organization
Contact information
Practice address
3617 W GORE BLVD, LAWTON, OK 73505-6373
(405) 691-0155
Mailing address
3617 W GORE BLVD, LAWTON, OK 73505-6373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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