| NPI | 1790125250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DEAN PINKSTON Owner 405-919-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 6295) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |