| NPI | 1336450675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W. WILLIAMS Member 405-224-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 3609) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OK 6126) |
| 1223G0001X Dentist General Practice (Licence: OK 5709) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |