Individual
DR. CHARLES W BACHMANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
(580) 924-5885
(580) 924-5118
Mailing address
2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
(580) 924-5885
(580) 924-5118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5158
OK
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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