| Dental Lodge At Brookhave | |
|
3700 W Robinson St Suite 102 Norman OK 73072-3659 | |
| (405) 872-9597 | |
| Not Available |
| Full Name | Dental Lodge At Brookhave |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3700 W Robinson St, Norman, Oklahoma |
| Authorized Official Name and Position | Gary D Nabors (OWNER) |
| Authorized Official Contact | 4058729597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Lodge At Brookhave Po Box 69 Noble OK 73068-0069 Ph: (405) 872-9597 | Dental Lodge At Brookhave 3700 W Robinson St Suite 102 Norman OK 73072-3659 Ph: (405) 872-9597 |
| NPI Number | 1164835617 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164835617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5955 (Oklahoma) | Primary |
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