Individual
DR. CHANDA ANN KENNEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1405 SOUTH SANGRE RD, STILLWATER, OK 74074
(504) 495-4126
Mailing address
1324 N WASHINGTON ST, STILLWATER, OK 74075-3331
(504) 495-4126
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
79
OK
Other
Enumeration date
05/07/2007
Last updated
01/04/2008
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