East Norman Dental

NPI #1790942431 in Norman, Oklahoma

Provider Information

NPI Number: 1790942431
Entity Type: Organization
Organization Name: East Norman Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 443 12TH AVE NE
City: Norman
State: Oklahoma
ZIP Code: 73071-5241
Phone: (405) 360-0018

Authorized Official

Name: LARRY LAVELETT, D.D.S.
Title: DENTIST
Phone: (405) 360-0018

Specialties & Taxonomy Codes

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

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