| NPI | 1861759508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LINDLEY Owner 580-353-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 3235) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |