NPI | 1699395343 |
---|---|
Entity Type | Organization |
Authorized Contact | YACOUB AL SAKKA Co Owner 405-696-0908 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |