| NPI | 1265609192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A KNAPP Owner/Doctor 918-394-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5870) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-12-10 |