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 |