NPI | 1770026841 |
---|---|
Doing Business As | COBBLESTONE PARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CORY CHAMBERS Dentist/Owner 405-603-8520 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 5941) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2016-11-22 |