| NPI | 1174797039 |
|---|---|
| Doing Business As | DENTAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TERESA K DAVIS President 405-751-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK D-5510) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |