MR. Brian Gene Chastain, DDS

NPI #1629275714 in Tuttle, Oklahoma

Provider Information

NPI Number: 1629275714
Entity Type: Individual
Name: MR. Brian Gene Chastain, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 2, 2007
Last Updated: Jul 22, 2010

Practice Location

Address: 4800 E. HWY. 37
City: Tuttle
State: Oklahoma
ZIP Code: 73089
Phone: (405) 381-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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