| NPI | 1164979076 |
|---|---|
| Doing Business As | DENTAL SQUARE |
| Entity Type | Organization |
| Authorized Contact | ANUSHA KONERU CEO 405-495-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6727) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |