| NPI | 1619147816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EDWARD SMITH Owner/Dentist 918-664-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5128) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |