| NPI | 1457507683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLA C. HILL Office Manager 405-691-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5613) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |