| NPI | 1427541796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BYBEE Dentist 918-376-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |