| NPI | 1619155371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LANDON SERFOSS Dentist 580-323-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5881) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |