| NPI | 1376700880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT BRELAND Owner/Dentist 918-224-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5213) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |