| NPI | 1346416914 |
|---|---|
| Other Name | BROOKTOWNE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS WAYNE FIREY Owner/Business Manager 918-743-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |