| NPI | 1194900555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA ANN KENNEMER Pediatric Dentist 405-533-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 79) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |