Individual
MR. TOD W CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2800 MAIN ST, BAKER CITY, OR 97814-1800
(541) 523-6012
(541) 524-9543
Mailing address
2800 MAIN ST, BAKER CITY, OR 97814-1800
(541) 523-6012
(541) 524-9543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7083
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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