NPI | 1265773071 |
---|---|
Entity Type | Organization |
Authorized Contact | CLINT EUGENE PITT President 405-323-5366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6207) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2013-03-14 |