| NPI | 1275921769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEHRMANN Menager 405-708-9748 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 6097) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |