| NPI | 1538739610 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | MIKE YATES CFO 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-08-17 |