| NPI | 1699005736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA J MENSER Business Manager 405-737-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5183) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |