| NPI | 1194000521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANDREW BERKLACY President 918-743-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4745) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |