| NPI | 1275650863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYMI SIMPSON Owner 405-732-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5332) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5689) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |