| NPI | 1871090548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA V BRASHER Sole Mbr 405-474-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6256) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |