NPI | 1295945814 |
---|---|
Doing Business As | BEDLAM SMILES |
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 |