| NPI | 1205404399 |
|---|---|
| Doing Business As | AESTHETIC DENTAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | AUBREY J HENSHAW Dentist 918-775-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |