Individual
AIMEE RACHELLE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
SAM HIDER DENTAL CLINIC, 859 E MELTON DR., JAY, OK 74346
(918) 253-1700
Mailing address
14921 N HIGHWAY 59, SUMMERS, AR 72769-9690
(479) 790-9261
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4252
OK
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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