| NPI | 1073713558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO A. MILLER Orthodontist 405-213-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 158) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |