| NPI | 1710165873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KELLNER Owner 405-636-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 073) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |