| NPI | 1386971406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN S. COOPER President 918-488-8889 |
| Organization Subpart ? | |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 5152) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 4919) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |