| NPI | 1326556242 |
|---|---|
| Doing Business As | DENTAL 32 |
| Entity Type | Organization |
| Authorized Contact | KELLY JAMESINA ELLIS Financial & Insurance Coordinator 405-605-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6232) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |