NPI | 1902070063 |
---|---|
Doing Business As | DENTAL DEPOT OF YUKON |
Entity Type | Organization |
Authorized Contact | BRYSON POGSON Dir. Of Business Development 405-945-8941 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3723) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2021-06-25 |