| NPI | 1265103691 |
|---|---|
| Doing Business As | WATONGA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA BRASHER President 405-474-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-25 |