| NPI | 1699940239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD BRIAN HOOPER Owner 405-341-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4521) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |