| NPI | 1871587832 |
|---|---|
| Doing Business As | SMILESOFTULSA.COM |
| Entity Type | Organization |
| Authorized Contact | CORBYN LEE VANBRUNT Dentist 918-481-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5445) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-07-03 |