| NPI | 1538823828 | 
|---|---|
| Doing Business As | NORTH DEAN DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | JOSHUA MATHIS Owner Dentist 918-852-4854  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2021-10-24 | 
| Last Update Date | 2021-10-24 |