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 |