| NPI | 1578737458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY W. ATKINSON Owner/Operator 405-525-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4094) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |