| NPI | 1699951053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD A HUDSON Owner 918-491-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5352) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |