| NPI | 1407983810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LYNN DENNINGTON President 580-286-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4822) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |