MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY

LAWTON, OK
NPI1265735724
Entity TypeOrganization
Authorized ContactVERA ANN WELLNER
Credentialing Rep
405-848-7974
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  160)
Enumeration Date2010-12-06
Last Update Date2013-11-13
Business Address
MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY
1415 NW 33RD ST
LAWTON, OK 73505-3806
Phone number: 580-699-3131
Mailing Address
MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY
3000 UNITED FOUNDERS BLVD SUITE 237
OKLAHOMA CITY, OK 73112-3958
Phone number: 405-848-7974