| NPI | 1679902415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GARNER Owner/President 918-346-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK OK5632) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |