NPI | 1376722314 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN SOUTHARD Office Manager 918-294-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5455) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |