| NPI | 1396077830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DUKE Rdh/Front Office 918-696-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5187) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 5187) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |