Individual
DR. STEPHEN ALLEN CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11900 N PENNSYLVANIA AVE, SUITE A-1, OKLAHOMA CITY, OK 73120-7824
(405) 755-9050
(405) 751-3112
Mailing address
11900 N PENNSYLVANIA AVE, SUITE A-1, OKLAHOMA CITY, OK 73120-7824
(405) 755-9050
(405) 751-3112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3929
OK
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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