| NPI | 1396752499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY Y PARISH Office Manager 918-743-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OK 3666) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |