NPI | 1023251972 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES BEAVERS RUNNELS BEAVERS President 405-682-9557 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 4453) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-04-08 |