Individual
MRS. NICKI L SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1516 S IOWA, CHANDLER, OK 74834
(405) 258-2684
(405) 258-5353
Mailing address
PO BOX 249, CHANDLER, OK 74834
(405) 258-2684
(405) 258-2684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6037
OK
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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