| NPI | 1790951614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMELLA GLENN Office Manager 918-524-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OK 5644) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |