| NPI | 1275057887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY DON CHEATHAM Owner/Pediatric Dentist 405-562-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OK 4220) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |