NPI | 1780913699 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P. KEENAN Owner/Dentist 918-481-4949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 3740) |
Enumeration Date | 2009-12-24 |
Last Update Date | 2009-12-24 |