| NPI | 1811037625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DAN HIGHFILL Dentist 580-762-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3613) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |