NPI | 1396090791 |
---|---|
Doing Business As | HEARTLAND ANESTHESIA |
Entity Type | Organization |
Authorized Contact | TATE MONTGOMERY Owner 918-200-9610 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 6231) |
Enumeration Date | 2012-07-22 |
Last Update Date | 2012-07-22 |