| NPI | 1295189777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PAPINSICK Director/CEO 918-809-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61266) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |