| NPI | 1720282700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS ALLEN President 405-840-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: OK 3829) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-09-04 |