| NPI | 1134447972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DRESHER VP Of Billing 405-848-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 8089) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |