NPI | 1841375953 |
---|---|
Doing Business As | BRUSH PEDIATRIC & FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRIS P FAGAN General Dentist/Owner 580-233-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6280) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2016-06-30 |