| NPI | 1609006345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A. BUSCHMAN Owner 580-355-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5272) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |