NPI | 1215562384 |
---|---|
Doing Business As | OKUN DENTISTRY - MESA |
Entity Type | Organization |
Authorized Contact | PAOLA RAMOS Credentialing Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2020-03-09 |
Last Update Date | 2024-10-22 |