NPI | 1174680896 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY STRETESKY Owner Doctor 580-226-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 3907) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |