Provider Demographics
NPI:1104084508
Name:WUSE H. CARA, DDS
Entity type:Organization
Organization Name:WUSE H. CARA, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WUSE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:580-355-2345
Mailing Address - Street 1:1116 NW ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-6535
Mailing Address - Country:US
Mailing Address - Phone:580-355-2345
Mailing Address - Fax:580-353-0860
Practice Address - Street 1:1116 NW ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-6535
Practice Address - Country:US
Practice Address - Phone:580-355-2345
Practice Address - Fax:580-353-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK48111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty