| NPI | 1679743751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE RYAN SCHMIDT President 405-751-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5676) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-06-25 |