| NPI | 1124555701 |
|---|---|
| Doing Business As | MIDTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MYSHAL LEANNE OLIVE Owner 580-630-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6805) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-04-14 |