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 |