| NPI | 1265608749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY TYNDALL Rdh/Office Manager 580-762-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5342) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |