| NPI | 1649015322 |
|---|---|
| Doing Business As | CLUBHOUSE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BROCK FRAZEE Owner/Orthodontist 405-308-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |