| NPI | 1538354253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN EVANS CARDON President 405-242-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5745) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |