| NPI | 1063687135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY H. LUNDY Office Manager 405-943-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4399) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |