| 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 |