Individual
CHAD J WASSINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2001 S DIVISION ST, GUTHRIE, OK 73044-6063
(405) 282-6440
Mailing address
2001 S DIVISION ST, GUTHRIE, OK 73044-6063
(405) 282-6440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6123
OK
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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