NPI | 1245406446 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN D ARCHER President 918-494-4445 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4804) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |