| NPI | 1356928519 |
|---|---|
| Doing Business As | BREATHE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JORDON C SMITH Dentist/Owner 918-698-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2022-08-01 |