| NPI | 1609890722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WESLEY OLIVER President 918-584-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3406) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-10-22 |