Individual
MELISSA RAE CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-5925
Mailing address
39 NW HEATHERSTONE DR, LAWTON, OK 73505-9535
(919) 584-1844
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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