NPI | 1023034451 |
---|---|
Former Legal Business Name | SMILE ZONE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT BRIAN MOLLOY Business Owner 405-692-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5436) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2012-11-07 |