| NPI | 1386810232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DEAN MCCASKILL Dentist Owner 405-447-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 65237) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |