| NPI | 1225204993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HARTSFIELD Office Manager 405-848-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5493) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |