MRS. Carol Fay Mortiere

NPI #1962410795 in Lawton, Oklahoma

Provider Information

NPI Number: 1962410795
Entity Type: Individual
Name: MRS. Carol Fay Mortiere
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7205 SW DRAKESTONE BLVD
City: Lawton
State: Oklahoma
ZIP Code: 73505-7467
Phone: (580) 531-0281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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