| NPI | 1033571104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER WILLIAMS Owner 918-641-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 6610) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |