| NPI | 1356779466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E KASTING President 918-245-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5464) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |