NPI | 1205319795 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY CARTER Manager/Member 918-688-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |