| NPI | 1205019825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GARNER President/Dentist 918-742-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5632) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |