| NPI | 1346548369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WILLIAMSON Office Manager 918-272-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |