| NPI | 1497915052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WOODALL Financial Coordinator 405-728-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4131) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |