| NPI | 1437323466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED LEE MARSHALL Owner/President 918-492-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3855) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |