NPI | 1316275951 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY L BROOKS Owner 405-329-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5216) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2022-07-21 |