Organization
LAKE COUNTRY ORTHODONTICS
Active
Other names
Stretesky Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A MILLER (OFFICE MANAGER)
(580) 226-2331
Entity
Organization
Contact information
Practice address
1119 WALNUT DR STE 4, ARDMORE, OK 73401-2360
(580) 226-2331
(580) 226-8776
Mailing address
1119 WALNUT DR STE 4, ARDMORE, OK 73401-2360
(580) 226-2331
(580) 226-8776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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