| NPI | 1295900934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE G HASKETT Owner/ President 405-364-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3844) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |