| NPI | 1407252117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI KLEIN Office Manager 405-360-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5906) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |