| 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 |