| NPI | 1851579163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L SKINNER Office Manager 918-455-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 23401) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-11 |