| Lawton Dental Group Pllc | |
|
916 Sw 38th St Ste B Lawton OK 73505-7005 | |
| (580) 355-3551 | |
| Not Available |
| Full Name | Lawton Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 916 Sw 38th St Ste B, Lawton, Oklahoma |
| Authorized Official Name and Position | Joshua V Brasher (SOLE MBR) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawton Dental Group Pllc 916 Sw 38th St Ste B Lawton OK 73505-7005 Ph: (580) 355-3551 | Lawton Dental Group Pllc 916 Sw 38th St Ste B Lawton OK 73505-7005 Ph: (580) 355-3551 |
| NPI Number | 1871090548 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871090548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6256 (Oklahoma) | Primary |
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