| NPI | 1053586867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J. WULFEKOTTE Owner 405-632-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4155) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |