| NPI | 1215939004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J BIRDWELL Dds 405-947-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 4217) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |