| NPI | 1588807465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE REED BUTLER Periodontist 918-333-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OK 5160) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |