| NPI | 1336854231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI WILLIAMS VP Of Growth 405-250-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |