NPI | 1255507224 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY EDWARD MOORE President 918-494-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OK 3981) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2008-04-30 |