| NPI | 1730357674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD TARR President/Owner 918-446-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4076) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-06-16 |