NPI | 1487850814 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROSS RYAN Owner 405-840-5591 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4859) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2008-08-12 |