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Individual

CHANDLER HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
HWY 56 AND 270 JCT, WEWOKA, OK 74884
(405) 257-7310
(405) 257-2696
Mailing address
HWY 56 AND 270 JCT, WEWOKA, OK 74884
(405) 257-7310
(405) 257-2696

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6699
OK

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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