| NPI | 1679831663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN MOLLOY Owner/President 405-692-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |