| NPI | 1598126799 |
|---|---|
| Doing Business As | ABC DENTAL |
| Entity Type | Organization |
| Authorized Contact | RENEE MCBAY Credentialing Specialist 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2018-06-14 |