| NPI | 1699965194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY A SULLIVAN Office Manager 405-329-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OK P-25) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |