Cory Chambers
Dentist in Oklahoma City, OK. Organization (NPI-2).
NPI number1770026841
StatusActive
Last updated in NPPESNov 22, 2016
Details
- NPI
- 1770026841
- Entity type
- Organization (NPI-2)
- Legal business name
- Cory Chambers
- Organization subpart
- No
- Enumeration date
- Nov 22, 2016
- Last updated
- Nov 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5941 | OK | Yes |
Other names
- Cobblestone Park Family Dental (Doing Business As)
Practice location
12321 N. Council RdOklahoma City, OK 73162
Phone 405-603-8520 · Fax 405-603-8560
Mailing address
12321 N. Council RdOklahoma City, OK 73162
Phone 405-603-8520 · Fax 405-603-8560
Authorized official
Cory Chambers
Dentist/Owner
4056038520
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