| NPI | 1487019071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE W PINSON Practice Manager 918-229-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5601) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |