| NPI | 1487829974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW JONES President 580-357-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 173) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2016-11-10 |