| NPI | 1811624307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GOBBLE Vice President Business Development 405-707-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-24 |