| NPI | 1184973141 |
|---|---|
| Doing Business As | MY DENTIST |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAMBERS President 405-286-9024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60795) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-11-07 |