| NPI | 1265052062 |
|---|---|
| Doing Business As | ADA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GARRETT GLISSMEYER Provider/Owner 580-322-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2026-05-21 |