| NPI | 1841472628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GERARD MAGUIRE Sole Proprietor 405-525-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4791) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |