Individual
DR. JENNIFER CHADD WILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
500 N FINANCIAL CENTER TERRACE, SUITE D, MUSTANG, OK 73064
(405) 376-2072
Mailing address
2642 NW 66TH ST, OKLAHOMA CITY, OK 73116-4908
(918) 557-9369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6612
OK
Other
Enumeration date
06/04/2014
Last updated
03/17/2018
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