| NPI | 1669770467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E MCCUNE Orthodontist 405-364-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2022-07-21 |