| NPI | 1154623403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE M ARIANA Owner/Operator 918-346-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5854) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |