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Organization

CHARLES W. BACHMANN III, DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES W BACHMANN, III DDS (PRESIDENT)
(580) 924-5890
Entity
Organization

Contact information

Practice address
2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
(580) 924-5890
(580) 924-5118
Mailing address
2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
(580) 924-5890
(580) 924-5118

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5158
OK

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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