| NPI | 1316179914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMAS HUBBARD President 580-256-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 174) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |