Whalio Doctors

NPI 1013453935

Jamie Horacek

Practitioner Dental Hygienist Lawton, OK

Practice location

Address
29 Ketch Creek Cir, Lawton, OK 73507-9030
Phone
(580) 442-3905
Mailing address
Bldg. 652 Hamilton Rd USA Dental Activity, Ft. Sill, OK 73503

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 2779 (OK)

Registry record

NPI
1013453935
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jan 2017
Record last updated
17 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.