NPI | 1437381753 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY DRESHER VP Of Billing 405-848-7974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 54665) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2009-08-20 |