| NPI | 1760596761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ALAN HARLAN President 405-632-9726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5092) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-07-18 |