| NPI | 1235141029 |
|---|---|
| Former Legal Business Name | DR STEVE CARSON AND DR MARY MARY MARTIN |
| Entity Type | Organization |
| Authorized Contact | MARY E MARTIN CEO V Ice President 405-732-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 4594) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 4609) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |