CHAD DOUGLAS SPIVA

MOORE, OK
NPI1043328594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5497)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Dr. CHAD DOUGLAS SPIVA DDS
808 NE 19TH ST
MOORE, OK 73160
Phone number: 405-799-5529
Mailing Address
Dr. CHAD DOUGLAS SPIVA DDS
808 NE 19TH ST
MOORE, OK 73160
Phone number: 405-799-5529
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