Individual
LESLIE C CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5415
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
270
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112840A
—
OK
Enumeration date
03/30/2007
Last updated
01/14/2008
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