| NPI | 1649454273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LESLIE CONE Owner 580-924-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5161) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |