| NPI | 1568639623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL DANNER Dentist 405-749-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5165) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |