| NPI | 1477727568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. BRANT WORTHINGTON Dentist 405-737-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5-3257) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |