| NPI | 1902017957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHI NANDA Owner 405-330-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OK 4302) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |