| NPI | 1073788592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT RANDAL WARN Owner 580-248-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5247) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |