| NPI | 1265607428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEIL JOHNSON President 918-743-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OK 3848) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |