| NPI | 1790012243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY S DRESHER VP Of Billing 405-848-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 6524467) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |