Organization
CHANDA A. KENNEMER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA ANN KENNEMER DDS (PEDIATRIC DENTIST)
(405) 533-1233
Entity
Organization
Contact information
Practice address
1405 S SANGRE RD, STILLWATER, OK 74074-1832
(405) 533-1233
Mailing address
1405 S SANGRE RD, STILLWATER, OK 74074-1832
(405) 533-1233
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
79
OK
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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