| NPI | 1104893056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY FARMER President 918-683-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 3385) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-08-22 |