NPI | 1003003831 |
---|---|
Doing Business As | DENTAL WORKS |
Entity Type | Organization |
Authorized Contact | EDWINA VIRGINIA JOHNSON Dentist 405-557-1245 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK S 4606) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2008-06-18 |