| NPI | 1831384726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE WHITMIRE Financial Coordinator 580-924-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5716) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 5662) |
| 1223G0001X Dentist, General Practice (Licence: OK 5872) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |