| NPI | 1760752901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MASTIN President 918-495-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5670) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |