| NPI | 1649437492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ALEXANDER CARMEN Office Manager 405-364-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5472) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |