| NPI | 1538328372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG ALLEN SMITH Owner 918-747-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4893) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |