| NPI | 1699932525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES HUTTON Office Manager 918-743-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3986) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |