| NPI | 1629474127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN MOLLOY Owner 405-692-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 185) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |