Individual
CHANDLER ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 323-2884
Mailing address
525 NW 37TH ST, OKLAHOMA CITY, OK 73118-7021
(580) 890-9205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7724
OK
Other
Enumeration date
05/29/2023
Last updated
07/23/2023
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