| NPI | 1427344738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE D STORTS Dentists 580-223-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4633) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |