| NPI | 1104091479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA GARZON Dmd, Ms 405-348-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 5504) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |