| NPI | 1033529532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE MILLER Owner Doctor 405-364-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 3765) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-02-14 |