| NPI | 1114191038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL HINKLE Owner 918-745-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4244) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |