| NPI | 1417271115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M. JENKINS President/ Dentist 405-631-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 6030) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2011-07-06 |