| NPI | 1811161839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RYAN BUGG Owner 918-285-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5628) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |