| NPI | 1366794836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDON MILES SWISHER President 918-336-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6042) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |