| NPI | 1053864439 |
|---|---|
| Doing Business As | KINCAID FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW KINCAID Owner 918-258-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6219) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |