| NPI | 1083006878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M. RANEY President 405-737-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 110) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |