| NPI | 1295168284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBI LYNN CRAIG Owner 405-321-1926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 145) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |