| NPI | 1386819456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL SHORT Office Manager 405-691-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5004) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |