NPI | 1336366244 |
---|---|
Other Name | EDMOND ENDODONTICS |
Entity Type | Organization |
Authorized Contact | JACKSON L SULLIVAN Doctor 405-844-8444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OK 5244) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2008-06-12 |