Individual
JONATHAN CURTIS LORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1103 WALNUT DR, ARDMORE, OK 73401-2354
(580) 226-6290
(580) 223-4381
Mailing address
1103 WALNUT DR, ARDMORE, OK 73401-2354
(580) 226-6290
(580) 223-4381
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6367
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279510A
—
OK
Enumeration date
07/04/2009
Last updated
10/02/2013
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