| NPI | 1649423187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET G ANDERSON Owner/President 918-756-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5044) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |