| NPI | 1104206887 |
|---|---|
| Doing Business As | SKY ORTHO |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA PICKENS-LARSON Owner/ Orthodontist 405-378-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 189) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |