| NPI | 1255526877 |
|---|---|
| Doing Business As | ORAL & FACIAL SURGERY OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | CRAIG ALLEN WOOTEN President 405-751-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OK 5181) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-07-30 |