| NPI | 1114192911 |
|---|---|
| Other Name | VALVERDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEBORAH P SPLAWN Business Assistant 580-482-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 4975) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 4246) |
| 122300000X Dentist (Licence: OK 6043) | |
| 302R00000X Health Maintenance Organization (Licence: OK 4975) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-08-25 |