| NPI | 1295945814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON VAN THOMAS Dentist 405-224-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5295) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-12-05 |