| NPI | 1740424225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA SUE BERRY President/Dentist 405-631-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5732) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |