| NPI | 1043526239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C FITZGERALD Dentist/Member 405-631-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5894) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |