| NPI | 1760630339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H MELTON Managing Member 918-352-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3573) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |