| NPI | 1255413399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B BATTLE President 918-341-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5778) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-06-10 |