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Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Norman, OK

NPI
1386393858
Type
Individual (Type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
265 (OK)
Sex
Female
Sole proprietor
No
Enumerated
2022-03-22
Last updated
2025-04-23
Practice location
3560 Rc Luttrell Dr Ste 200
Norman, OK 73072-9702
(405) 364-4608

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