Individual
DR. AARON CHASE SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N STONEWALL AVE, DCSB #206, OKLAHOMA CITY, OK 73117-1214
(405) 271-4079
(405) 271-1134
Mailing address
1201 N STONEWALL AVE, DCSB #206, OKLAHOMA CITY, OK 73117-1214
(405) 271-4079
(405) 271-1134
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6211
OK
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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