NPI | 1043267545 |
---|---|
Entity Type | Organization |
Authorized Contact | D. COLEY DUGAN President 405-732-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5168) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2008-05-15 |