| NPI | 1346415320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DALE THOMAS President 580-233-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4389) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |