| NPI | 1548597966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES FOX President/Owner 918-494-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5462) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |