| NPI | 1073616074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J HARRELL President 580-248-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4111) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |