DR. Jarrod Don Lack, D.D.S.

NPI #1669793022 in Enid, Oklahoma

Provider Information

NPI Number: 1669793022
Entity Type: Individual
Name: DR. Jarrod Don Lack, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 18, 2010
Last Updated: Jun 18, 2010

Practice Location

Address: 1710 W WILLOW RD
City: Enid
State: Oklahoma
ZIP Code: 73703-2438
Phone: (580) 234-6663

Specialties & Taxonomy Codes

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

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