| NPI | 1184895153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MARLENE HOUSLEY Owner 405-265-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5788) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-06-30 |