| NPI | 1134921646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREED CARDON President/Dentist 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |