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 |