| NPI | 1003081878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M BROWN Financial Secretary 918-742-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 3738) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |