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Organization

CHICKASHA DENTAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDI ANN WILLIAMS (CLINICAL DIRECTOR)
(405) 250-2255
Entity
Organization

Contact information

Practice address
823 W CHICKASHA AVE, CHICKASHA, OK 73018-2307
(405) 224-1727
Mailing address
3901 E COVELL RD, EDMOND, OK 73034-6909
(405) 224-1727

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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