| NPI | 1851679427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD BRIAN HOOPER Owner 450-341-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 4521) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |