| NPI | 1588838403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M. LEWIS Doctor 405-330-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 157) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |