| NPI | 1467003186 |
|---|---|
| Doing Business As | SPARTAN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PRISCILA JELSING President 918-743-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |