| NPI | 1841572591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA CHERYL MCINTOSH President 918-423-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 5023) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |