| NPI | 1467627364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDA KAY PHARES Office Manager 405-624-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |