| NPI | 1407003957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORI KENT WHITE Dentist/Owner 580-256-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5088) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5133) |
| 1223G0001X Dentist, General Practice (Licence: OK 5574) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |