Individual
JUSTIN MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 W GRAND AVE, CHICKASHA, OK 73018-5112
(405) 222-0222
Mailing address
711 COTTONWOOD RD, CHICKASHA, OK 73018-9303
(405) 779-3311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7580
OK
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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