| NPI | 1629211594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T. STAPLETON Periodontist 918-376-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OK 5727) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |