| NPI | 1184147662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MOUNIR ZAKHARY President 405-923-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2020-07-07 |