| NPI | 1609154889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY VOGT Representative 405-271-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 1067) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |