Chad D Spiva

NPI #1306011093 in Moore, Oklahoma

Provider Information

NPI Number: 1306011093
Entity Type: Organization
Organization Name: Chad D Spiva
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 808 NE 19TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-6302
Phone: (405) 799-5529

Authorized Official

Name: DR. CHAD D SPIVA, DDS
Title: OWNER
Phone: (405) 799-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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