Liberty Dental, Inc.

NPI #1497072094 in Carnegie, Oklahoma

Provider Information

NPI Number: 1497072094
Entity Type: Organization
Organization Name: Liberty Dental, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2010
Last Updated: Apr 23, 2010

Practice Location

Address: 6 N. BROADWAY
City: Carnegie
State: Oklahoma
ZIP Code: 73015
Phone: (580) 654-1008

Authorized Official

Name: JAMIE LYNNE CAMERON, D.D.S.
Title: OWNER/DENTIST
Phone: (580) 654-1008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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