| NPI | 1528262441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE HOLDSCLEW Office Manager 405-722-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3723) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-06-25 |