NPI | 1801800107 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD E ORR Co Owner 580-584-3403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5122) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5140) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2020-08-22 |