| NPI | 1073712949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEON BREWER President 918-266-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5182) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-08-22 |