| NPI | 1285939777 |
|---|---|
| Doing Business As | MY DENTIST |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAMBERS Chief Dental Director 405-753-1237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 015684) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2013-03-28 |