| NPI | 1710138219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN E. PATTERSON Managing Partner 918-495-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |