JACKIE LEE MCKINNIS

LAWTON, OK
NPI1326066291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  3118)
Enumeration Date2006-07-18
Last Update Date2016-03-14
Business Address
-- JACKIE LEE MCKINNIS D.D.S.
2101 NW FERRIS AVE
LAWTON, OK 73507
Phone number: 580-357-1581
Mailing Address
-- JACKIE LEE MCKINNIS D.D.S.
2101 NW. FERRIS AVE
LAWTON, OK 73507
Phone number: 580-357-1581