| NPI | 1730264433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE WYATT President 918-664-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5301) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |