Gustavo Lawrence Govin III, DDSMS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1710093570

Gustavo Lawrence Govin III, DDSMS is an Oral and Maxillofacial Surgery (Dentist) in Shawnee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in: OK
In the registry since: 2006

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Practice location Address checks out

18 Dunloup
Shawnee, OK 74804
Phone: (405) 275-1252
Fax: (405) 275-4292

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary)	Taxonomy 1223S0112X · Licence 3739 (OK)

Record details

NPI number	1710093570
Entity type	Individual (Type 1)
Gender	Male
Credentials	DDSMS
Sole proprietor	Yes
NPI enumerated	August 22, 2006
Last updated in NPPES	July 8, 2007