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 |