NPI | 1447467410 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNNY BURTON STARKEY President 918-392-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 76) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |