| NPI | 1235270083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM UTECHT Owner 405-732-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4055) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-11-24 |