| Chanda A. Kennemer, Dds, Pc | |
|
1405 S Sangre Rd Stillwater OK 74074-1832 | |
| (405) 533-1233 | |
| Not Available |
| Full Name | Chanda A. Kennemer, Dds, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1405 S Sangre Rd, Stillwater, Oklahoma |
| Authorized Official Name and Position | Chanda Ann Kennemer (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4055331233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda A. Kennemer, Dds, Pc 1405 S Sangre Rd Stillwater OK 74074-1832 Ph: (405) 533-1233 | Chanda A. Kennemer, Dds, Pc 1405 S Sangre Rd Stillwater OK 74074-1832 Ph: (405) 533-1233 |
| NPI Number | 1194900555 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194900555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 79 (Oklahoma) | Primary |
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