| NPI | 1871612713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUNDY RIGGS President 918-384-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK P-35) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-11-29 |