| NPI | 1316078405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W. BOYD President 918-335-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 3910) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |