| NPI | 1881932382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TRENT YADON Dentist 580-256-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4852) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |