| NPI | 1427139369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS G LESLIE President 405-848-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3172) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |