| NPI | 1821263708 |
|---|---|
| Former Legal Business Name | OKLAHOMA CITY PEDODONTIST INC. |
| Entity Type | Organization |
| Authorized Contact | ANDREW CLEVELAND GUTHRIE Owner/President 405-946-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 5169) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |