| NPI | 1043253263 |
|---|---|
| Doing Business As | DDSI SOUTH AEC LLC |
| Entity Type | Organization |
| Authorized Contact | DIANA J MOCK Director 405-767-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0075) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-02-10 |