GUSTAVO LAWRENCE GOVIN

SHAWNEE, OK
NPI1710093570
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  3739)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
-- GUSTAVO LAWRENCE GOVIN DDS MS
18 DUNLOUP
SHAWNEE, OK 74804
Phone number: 405-275-1252
Mailing Address
-- GUSTAVO LAWRENCE GOVIN DDS MS
18 DUNLOUP
SHAWNEE, OK 74804
Phone number: 405-275-1252
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