| NPI | 1629242573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA J. THOMAS Office Manager 918-455-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4739) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |