| NPI | 1831381169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BRANDON HOECKER Owner 405-707-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2022-04-21 |