Lakehaven Dental P.c
NPI #1215152608 in Grove, Oklahoma
Provider Information
- NPI Number
- 1215152608
- Entity Type
- Organization
- Organization Name
- Lakehaven Dental P.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Nov 3, 2015
Practice Location
Authorized Official
- Name
- STEFAN S HACKER, DDS
- Title
- PRESIDENT
- Phone
- (918) 787-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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