Most Relevant Information
Provider Data
| NPI Number: | 1003070962 |
| Provider Name: | CHASE TE IDLEMAN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 3026 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 07/10/2008 |
Provider Practice Location
4913 W RENO AVE
OKLAHOMA CITY
OK
731276339
Practice Location Phone/Fax
| Phone: | 4059484900 |
| Fax: | 4059484938 |
Provider Mailing Location
4913 W RENO AVE
OKLAHOMA CITY
OK
731276339
Provider Mailing Phone/Fax
| Phone: | 4059484900 |
| Fax: | 4059484938 |