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 |