| NPI | 1427592351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MCNAMARA Dentist/Owner 405-513-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60594416) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |