| NPI | 1639591639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON M DENT Office Manager 405-208-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: OK R0061574) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |