| NPI | 1861814295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU BARKER EVANS Dentist/Owner 918-652-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6188) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |