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1215152608
LAKEHAVEN DENTAL P.C
GROVE, OK
NPI
1215152608
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Entity Type
Organization
Authorized Contact
STEFAN S HACKER
President
918-787-7900
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-04-13
Last Update Date
2015-11-03
Business Address
LAKEHAVEN DENTAL P.C
200 E 3RD STREET
GROVE, OK 74344
Phone number: 918-787-7900
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Mailing Address
LAKEHAVEN DENTAL P.C
PO BOX 451897
GROVE, OK 74345-1897
Phone number: 918-787-7900
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