NPI | 1215470497 |
---|---|
Doing Business As | SUMMER DENTAL OKC |
Entity Type | Organization |
Authorized Contact | CREED LOUIS CARDON Owner 918-998-0996 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-11-21 |
Last Update Date | 2020-08-12 |