NPI | 1063899771 |
---|---|
Doing Business As | INNOVATIONS DENTISTRY |
Entity Type | Organization |
Authorized Contact | HUNTER JAKE HANUS Owner/President 918-366-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 6589) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2015-05-01 |