| NPI | 1699264259 |
|---|---|
| Doing Business As | CHIMNEY HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | COURTNEY JOHNSON Owner 918-492-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-03-09 |