| NPI | 1780841171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC CHARLES GOLDSMITH Owner 405-682-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4361) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |