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1053986935
LIVE OAK ORAL SURGERY OF OKLAHOMA PLLC
LAWTON, OK
NPI
1053986935
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Entity Type
Organization
Authorized Contact
MICHAEL J GLIDDON
Owner
580-699-3131
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
LIVE OAK ORAL SURGERY OF OKLAHOMA PLLC
5405 SW DAUN
LAWTON, OK 73505-8508
Phone number: 580-699-3131
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Mailing Address
LIVE OAK ORAL SURGERY OF OKLAHOMA PLLC
PO BOX 258841
OKLAHOMA CITY, OK 73125-8841
Phone number: 580-699-3131
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