NPI | 1447709613 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE LOVE Office Manager 405-722-7071 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6826) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |