| NPI | 1255516035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE BRYAN Manager 405-755-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 135) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2007-12-29 |