CHAD D SPIVA

MOORE, OK
NPI1306011093
Entity TypeOrganization
Authorized ContactCHAD D SPIVA
Owner
405-799-5529
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5497)
Enumeration Date2008-04-24
Last Update Date2008-04-24
Business Address
CHAD D SPIVA
808 NE 19TH ST
MOORE, OK 73160-6302
Phone number: 405-799-5529
Mailing Address
CHAD D SPIVA
808 NE 19TH ST
MOORE, OK 73160-6302
Phone number: 405-799-5529
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