NPI | 1013330885 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYSON POGSON Director 405-945-8941 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 73) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-01-29 |