| NPI | 1770691990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY WELLS President 918-775-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4740) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |