| NPI | 1225417207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM C BREWER Owner/Dentist 405-888-5379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 1223G0001X) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |