| NPI | 1326273996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE JUDY MADAMBA Dentist 918-627-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OK 3173) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |