| NPI | 1205904984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT ARVID KLONTZ President Orthodontist 405-848-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 2895) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |