| NPI | 1114184629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L VIRTUE President 405-943-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4435) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-22 |