NPI | 1437316205 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LAUVETZ-ENMEIER President 405-624-0061 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5253) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |