| NPI | 1043545627 |
|---|---|
| Doing Business As | 1ST IMPRESSIONS DENTISTRY OF YUKON |
| Entity Type | Organization |
| Authorized Contact | MATTHEW D COLE Business Administrator 405-354-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6061) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2021-11-18 |