NPI | 1649318882 |
---|---|
Doing Business As | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | THOMASON MICHAEL MCCONNELL Dentist 918-458-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5267) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |