| NPI | 1669885802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY S DRESHER VP Billing 405-848-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AZ D008900) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |