Charles Hetrick
NPI 1487861530 · on the registry since 2007
Practice
- Address
- 218 E 10th Street Plz
Edmond, OK 73034 - Phone
- (405) 341-7046
- Organisation at this address
- Hetrick & Holloman Dds Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma