| NPI | 1376725051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L GREER Surgeon 918-747-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 3693) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5797) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2009-06-08 |