| NPI | 1265530083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLIN EDMUND BRALY Physician 405-364-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OK 3765 AND 5216) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-02-22 |