| NPI | 1164697553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LEE MARLEY-HARROD President 405-842-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5552) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |