| NPI | 1235419409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH AUSTIN WHITFIELD Owner, President, Officer 405-513-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OK 6048) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |