NPI | 1114094372 |
---|---|
Entity Type | Organization |
Authorized Contact | MEHRDAD EMAMI President 918-496-8010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4971) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2008-10-14 |