Dental Lodge, Plc

NPI #1831429042 in Noble, Oklahoma

Provider Information

NPI Number: 1831429042
Entity Type: Organization
Organization Name: Dental Lodge, Plc
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2010
Last Updated: Jan 11, 2010

Practice Location

Address: 305A N MAIN ST
City: Noble
State: Oklahoma
ZIP Code: 73068-9322
Phone: (405) 872-9597

Authorized Official

Name: DR. GARY DWAYNE NABORS JR., D.D.S.
Title: OWNER
Phone: (405) 872-9597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Dental Lodge of Noble, Pllc	Dentist	Noble	AI Deep Dive

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