| NPI | 1508041328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E. FURTADO Owner 580-654-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 2967) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |