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1891472304
NORTH LAKE DENTAL PLLC
OKLAHOMA CITY, OK
NPI
1891472304
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Entity Type
Organization
Authorized Contact
CANDICE SCHUMANN
Credentialing Specialist
918-998-0996
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
NORTH LAKE DENTAL PLLC
12200 N MACARTHUR BLVD STE 1
OKLAHOMA CITY, OK 73162-1849
Phone number: 918-998-0996
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Mailing Address
NORTH LAKE DENTAL PLLC
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number: 918-998-0996
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