| NPI | 1518131556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI M BRANT Office Manager 405-377-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4046) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |