| NPI | 1881851723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE G LEVERICH President 405-354-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3852) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |