NPI | 1154544187 |
---|---|
Entity Type | Organization |
Authorized Contact | JONAS CHRISTOPHER MCCALL D.D.S. 918-682-5518 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 5961) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 4047) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2011-04-01 |