| NPI | 1053393504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERROL JAMES ALLISON President 918-456-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4863) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |