| NPI | 1225747736 |
|---|---|
| Doing Business As | SOUTHEAST OKLAHOMA ORAL AND MAXILLOFACIAL |
| Entity Type | Organization |
| Authorized Contact | HANS CHARLES IGOU Owner 580-332-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |