| NPI | 1508155250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L BROWN Office Manager 405-691-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4525) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |