| Lakeside Oral Surgery Pllc | |
|
3100 W Britton Rd Suite A Oklahoma City OK 73120-2058 | |
| (405) 751-3312 | |
| (405) 751-3524 |
| Full Name | Lakeside Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3100 W Britton Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lester L Cowden (OWNER) |
| Authorized Official Contact | 4057513312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Oral Surgery Pllc 3100 W Britton Rd Suite A Oklahoma City OK 73120-2058 Ph: (405) 751-3312 | Lakeside Oral Surgery Pllc 3100 W Britton Rd Suite A Oklahoma City OK 73120-2058 Ph: (405) 751-3312 |
| NPI Number | 1013256635 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013256635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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