NPI | 1861980419 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN JOHN HINCKLEY President 405-651-5889 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA DDS102374) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2018-04-30 |