| NPI | 1083325443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RICHARDSON Pediatric Dentist/Owner 918-640-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |