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 |