| NPI | 1528019114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK S. THOMAS President/Doctor 918-376-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5499) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |