| NPI | 1871767889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON DRAKE STEVENS President 918-587-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5979) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |