| NPI | 1124309216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET DOYLE ISLEY President 918-224-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5995) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-10-25 |