| NPI | 1649339862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ROBERT MONTGOMER Dr. 580-536-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4422) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-03-04 |