| NPI | 1811155740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W HACKLER President 918-492-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 3465) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |