| NPI | 1700459559 |
|---|---|
| Doing Business As | SOUTHWEST OKC OKLAHOMA IMPLANTS AND DENTURES |
| Entity Type | Organization |
| Authorized Contact | SARA BROWN Credentialing Manager 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-10-07 |