| NPI | 1235679440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN COURSEY Dmd, Owner 918-364-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6565) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |