| NPI | 1548472137 |
|---|---|
| Doing Business As | AQUA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAMUEL A OWENS Owner 918-455-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-05-21 |