| NPI | 1881139319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE E. ABOU-NASSAR Owner 405-310-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6017) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-03-13 |