| NPI | 1831325570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYSON POGSON Dir. Of Business Development 405-945-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2021-06-25 |