| NPI | 1750137907 |
|---|---|
| Doing Business As | OWASSO PEDIATRIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | CREED CARDON President 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |