Organization
ABSOLUTE SMILES FAMILY DENTISTRY
Active
Organization
ABSOLUTE SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GENE CHASTAIN DDS (OWNER)
(405) 381-0900
Entity
Organization
Contact information
Practice address
4800 E. HWY. 37, TUTTLE, OK 73089
(405) 381-0900
Mailing address
4800 E. HWY. 37, TUTTLE, OK 73089
(405) 381-0900
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5944
OK
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
Update your record
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