| NPI | 1174741474 |
|---|---|
| Doing Business As | WESTSIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY L LANGLEY Office Manager 580-924-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 5597) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 3469) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-06-16 |