| NPI | 1679757611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KEVIN BRECHEISEN President 918-336-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4558) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |