| NPI | 1881860690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HAYWOOD SMITH President 918-280-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5156) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |