Lake Country Orthodontics | |
1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 | |
(580) 226-2331 | |
(580) 226-8776 |
Full Name | Lake Country Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1119 Walnut Dr Ste 4, Ardmore, Oklahoma |
Authorized Official Name and Position | Lori A Miller (OFFICE MANAGER) |
Authorized Official Contact | 5802262331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Country Orthodontics 1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 Ph: (580) 226-2331 | Lake Country Orthodontics 1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 Ph: (580) 226-2331 |
NPI Number | 1962013813 |
---|---|
Provider Enumeration Date | 08/13/2020 |
Last Update Date | 08/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962013813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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