| NPI | 1174644082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L WINTERS President 918-341-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4999) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-23 |