| NPI | 1659548188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ANN DUPRIEST Office Manager 918-224-0369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3005) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-06-12 |