| 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 |