| NPI | 1205095270 |
|---|---|
| Other Name | ENDODONTIC ASSOCIATES OF TULSA |
| Entity Type | Organization |
| Authorized Contact | EDWARD W GRIMES Owner 918-492-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 2748) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OK 3) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |