NPI | 1285809723 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANNETTE SANOR Dentist / Owner 405-418-4999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5782) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2008-04-25 |