| NPI | 1619534674 |
|---|---|
| Doing Business As | TECUMSEH RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW WHEATLEY Doctor/ Owner/ Manager 405-857-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |