| NPI | 1417180803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL A BIRD Owner 405-321-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OK 5936) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2019-06-17 |