| NPI | 1760657928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND FOSKIN President 405-848-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5110) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |