| NPI | 1346465275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD VINCY CROSS Dentist 580-226-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4448) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |