Bouma, Lars Olav

Bouma, Lars Olav is an sole proprietor health care provider with primary practice located at 4517 Memorial Cir , Oklahoma City OK 73142-5004. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / General Practice. Dental Providers / Prosthodontics is his primary health care specialty. Bouma, Lars Olav can be contacted via phone (405) 755-7777.

Contact Information

Primary practice address
4517 Memorial Cir Oklahoma City OK 73142-5004
Phone: (405) 755-7777
Fax: (405) 755-7169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X PROSTHODONTICS 30 Oklahoma
Dental Providers / General Practice 1223G0001X 18073 Texas

Profile Details

NPI number 1588658470
LBN Legal business name Bouma, Lars Olav
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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