| NPI | 1194908012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT EUGENE DRAKE President 918-272-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4019) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5882) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-01-02 |