| NPI | 1114184488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY B FINNELL Dentist 918-585-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4228) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |