| 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 |