| NPI | 1578737433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES LIVINGSTON Doctor 918-687-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OK 3397) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |