NPI | 1891981635 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER KENNY TEMPLETON Owner 405-577-7744 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5087) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2018-03-15 |