| NPI | 1316347016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FRANKLIN EDWARDS Partner/Dentist 580-332-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OK 4105) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: OK 6279) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |