| NPI | 1518133248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE REESE Office Manager 918-683-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5073) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |