| NPI | 1356590954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCALISTER Front Office COO Rdinator 918-523-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |