| NPI | 1497072094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNNE CAMERON Owner/Dentist 580-654-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5940) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |