NPI | 1750332045 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY D. LEEMASTER President 405-793-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4856) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |