| NPI | 1033519012 |
|---|---|
| Doing Business As | GENTLE DENTAL HOMESTEAD |
| Entity Type | Organization |
| Authorized Contact | RONALD K MONTGOMERY Pc Owner 405-698-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3733) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-12-20 |