NPI | 1356470587 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT EDWARD MULLER President 580-536-7172 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5625) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |