Individual
CHASE GERETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12136 S YUKON AVE, GLENPOOL, OK 74033-6621
(918) 216-1000
Mailing address
3161 E 38TH PL, TULSA, OK 74105-3715
(918) 919-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7703
OK
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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