| NPI | 1306066113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS A. RECKNAGEL President 405-324-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK OK5494) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-01-16 |