| NPI | 1023311388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LARD President 918-336-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 5431) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 5779) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |