| NPI | 1245597665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRIAN SHOOP Dentist/ Owner 918-872-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5753) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |