NPI | 1487064002 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY S DRESHER VP Billing 405-848-7974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 3900) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |