| NPI | 1710117999 |
|---|---|
| Doing Business As | DIVINE DENTAL WORKS |
| Entity Type | Organization |
| Authorized Contact | TRISCHA ANN CLARKE Owner 918-630-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5859) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |