| NPI | 1588840128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LYNN BOONE Owner/President 580-323-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3924) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2014-05-13 |