| Lakecrest Owasso | |
|
9551 N. Owasso Expressway Suite #100 Owasso OK 74055 | |
| (918) 376-6165 | |
| (918) 376-6160 |
| Full Name | Lakecrest Owasso |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9551 N. Owasso Expressway, Owasso, Oklahoma |
| Authorized Official Name and Position | Michelle Mayre Moss (OFFICE MANAGER) |
| Authorized Official Contact | 9183766165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakecrest Owasso 9551 N. Owasso Expy Suite 100 Owasso OK 74055 Ph: (918) 376-6165 | Lakecrest Owasso 9551 N. Owasso Expressway Suite #100 Owasso OK 74055 Ph: (918) 376-6165 |
| NPI Number | 1972151587 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 10/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972151587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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