| NPI | 1265984066 |
|---|---|
| Doing Business As | BETHANY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSHUA BRASHER Owner/Manager 405-474-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6256) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |