| NPI | 1609155217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S MCNAIR Grand Poobah 405-703-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6056) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |