| NPI | 1730688912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BRUCE Owner 405-269-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 6185) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 198) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |