| NPI | 1407838113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V. RALPH WILLCOX Owner, Dentist 405-341-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 4715 AND 5969) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2009-12-30 |