| NPI | 1497894604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENEIDA G. VASQUEZ Owner 405-703-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 126) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-10-22 |