NPI | 1013403336 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES FARLEY Managing Partner 405-348-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3794) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |