| NPI | 1144507781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP C LOWE Presedent 918-743-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: OK 4174) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |