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1326030107
LEE R. CENTRACCO
OKLAHOMA CITY, OK
NPI
1326030107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5 3716)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
Dr. LEE R. CENTRACCO DDS
5400 N GRAND BLVD STE 150
OKLAHOMA CITY, OK 73112-5692
Phone number: 405-946-5198
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Mailing Address
Dr. LEE R. CENTRACCO DDS
5400 N GRAND BLVD STE 150
OKLAHOMA CITY, OK 73112-5692
Phone number: 405-946-5198
Copy
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